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DR. DONALD P KRATZ M.D.
NPI 1225135171
Obstetrics & Gynecology - Gynecology in Springfield, MO

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1135 E LAKEWOOD ST, SUITE112, SPRINGFIELD, MO 65810(417) 887-5500(417) 883-8964 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald P Kratz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD P KRATZ M.D. (NPI 1225135171) is an individual gynecology provider in Springfield, Missouri, licensed in Missouri (MD101532) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1988).

NPPES Registry Identity

NPI1225135171
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. DONALD P KRATZCredential: M.D.
Location Address1135 E LAKEWOOD ST, SUITE112Springfield, MO 65810-2434
Mailing Address1135 E Lakewood St, Suite112Springfield, MO 65810-2434 · (417) 887-5500 · Fax (417) 883-8964
Phone(417) 887-5500
Fax(417) 883-8964
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1988
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1225135171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MO · MD101532
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1135 E LAKEWOOD ST, Springfield, MO 65810
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Other Identifiers 3

Medicare UPINF33898MO
Medicaid203355805MO
Medicare PIN005013188MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Donald P Kratz M.d. 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.

PECOS PAC ID5294789434
PECOS Enrollment IDI20050311000322
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services139 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
71 services71 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
46 services30 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
38 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Breast Cancer Screening
38%68 patients2/55-star benchmark: 93%
Cervical Cancer Screening
89%158 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%200 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%236 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 4% · 162 patients
4%162 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY LYNN LINN FNP
Nurse Practitioner (Family)
1135 E LAKEWOOD ST, SUITE 112
SPRINGFIELD, MO 65810
Greene County (417) 887-5500
IRON BRIDGE DIABETES & ENDO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1135 E LAKEWOOD ST, SUITE 104
SPRINGFIELD, MO 65810
Greene County (417) 879-6364
FAITH ROBIN JONES APRN, BC
Nurse Practitioner (Family)
1135 E LAKEWOOD ST, SUITE 112
SPRINGFIELD, MO 65810
Greene County (417) 887-5500
MRS. JILL ANN NORTON RNC,WHNP
Nurse Practitioner (Women's Health)
1135 E LAKEWOOD ST, SUITE 112
SPRINGFIELD, MO 65810
Greene County (417) 887-5500
WOMAN'S CLINIC, INC
Obstetrics & Gynecology (Gynecology)
1135 E LAKEWOOD ST, SUITE112
SPRINGFIELD, MO 65810
Greene County (417) 887-5500

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 Donald Kratz's NPI number?

The NPI number for Donald Kratz is 1225135171. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Donald Kratz located?

Donald Kratz practices at 1135 E Lakewood St Suite112, Springfield, MO 65810. The listed phone number is (417) 887-5500.

What is Donald Kratz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Donald Kratz enrolled in Medicare?

Yes. Donald Kratz 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 Donald Kratz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Donald Kratz 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 Donald Kratz affiliated with any hospitals?

According to CMS data, Donald Kratz is affiliated with Cox Medical Centers and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Donald Kratz was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.