MARK T KRAUS MD
NPI 1144316647
Orthopaedic Surgery in Worcester, MA
About Mark T Kraus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK T KRAUS MD (NPI 1144316647) is an individual orthopaedic surgery provider in Worcester, Massachusetts, licensed in Massachusetts (245837) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark T Kraus 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.
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Mark Kraus's NPI number?
The NPI number for Mark Kraus is 1144316647. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Mark Kraus located?
Mark Kraus practices at 55 Lake Ave N Department Of Orthopedics, Worcester, MA 01655. The listed phone number is (888) 244-6094.
What is Mark Kraus's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Mark Kraus enrolled in Medicare?
Yes. Mark Kraus 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.
What insurance does Mark Kraus accept?
Health plans from Anthem Blue Cross and Blue Shield list Mark Kraus 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 Mark Kraus affiliated with any hospitals?
According to CMS data, Mark Kraus is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Mark Kraus was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mark T Kraus, MD · NPI 1144316647
Orthopaedic Surgery physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1144316647 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 245837 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, DEPARTMENT OF ORTHOPEDICS, Worcester, MA 01655-0002
- **Phone:** (888) 244-6094
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 1999
## Record status
- **NPPES last updated:** October 28, 2020
- **Other identifiers:** Medicaid 110086722A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1144316647) · Data from the CMS NPPES public registry.