RICHARD K. KRAUSS MD
NPI 1124056395
Obstetrics & Gynecology - Gynecology in Philadelphia, PA
About Richard K. Krauss Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD K. KRAUSS MD (NPI 1124056395) is an individual gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD021724E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Hahnemann University College Of Medicine (1977).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 20
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard K. Krauss Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Richard Krauss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19106
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Richard Krauss's NPI number?
The NPI number for Richard Krauss is 1124056395. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Richard Krauss located?
Richard Krauss practices at 800 Walnut St 15th Floor, Philadelphia, PA 19107. The listed phone number is (215) 807-8000.
What is Richard Krauss's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Richard Krauss enrolled in Medicare?
Yes. Richard Krauss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Richard Krauss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Krauss reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Krauss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Krauss accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Richard Krauss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Richard Krauss affiliated with any hospitals?
According to CMS data, Richard Krauss is affiliated with Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Richard Krauss was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Richard K. Krauss, MD · NPI 1124056395
Gynecology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1124056395 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** MD021724E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WALNUT ST, 15TH FLOOR, Philadelphia, PA 19107-5176
- **Phone:** (215) 807-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1942319777, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Hahnemann University College Of Medicine, class of 1977
## Record status
- **NPPES last updated:** October 3, 2016
- **Other identifiers:** Other 7316974 (PA); Medicaid 0018961710001 (PA); Other 810345326 (PA); and 17 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124056395) · Data from the CMS NPPES public registry.