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ROBERT RUSSELL MCCRACKEN
NPI 1225327513
Internal Medicine in Louisville, KY

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 895-8911(502) 895-8977 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Russell Mccracken NPPES

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

ROBERT RUSSELL MCCRACKEN (NPI 1225327513) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (47267) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (2011).

NPPES Registry Identity

NPI1225327513
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT RUSSELL MCCRACKEN
Location Address4000 KRESGE WAYLouisville, KY 40207-4605
Mailing Address3950 Kresge Way, Suite 308Louisville, KY 40207-4637 · (502) 895-9627 · Fax (502) 895-8977
Phone(502) 895-8911
Fax(502) 895-8977
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2011
Enumeration DateApril 7, 2011
Last NPPES UpdateOctober 28, 2014
✔ NPI 1225327513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 47267
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4000 KRESGE WAY, Louisville, KY 40207
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Other Identifiers 1

Medicare PINK151940KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Robert Russell Mccracken 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 ID7315166469
PECOS Enrollment IDI20140922002900
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
892 services371 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
243 services243 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
232 services228 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
137 services85 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%586 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$13.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers45 claims45 services$64.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIC D ELDER PAC
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 899-7646
TERESA O. KRAUS CRNA
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 473-2132
ANITA ROSE FEATHERS CRNA
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 473-2132
PETER S LANSING MD
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 259-5391
DR. CHRISTOPHER M KAUFFMANN MD
Pathology (Anatomic Pathology & Clinical Pathology)
4000 KRESGE WAY, PATHOLOGY DEPT
LOUISVILLE, KY 40207
Jefferson County (502) 897-8226
MRS. NANCY C BURGESS APRN
Nurse Practitioner (Acute Care)
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 897-8281
LOUISVILLE EMERGENCY MEDICINE ASSOCIATES, PSC
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 899-7646
SHIRLEY J MEREDITH, MD, PLLC
Internal Medicine
4000 KRESGE WAY, BAPTIST EAST WOUND CARE CENTER
LOUISVILLE, KY 40207
Jefferson County (502) 259-4470

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 Robert Mccracken's NPI number?

The NPI number for Robert Mccracken is 1225327513. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Robert Mccracken located?

Robert Mccracken practices at 4000 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 895-8911.

What is Robert Mccracken's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Mccracken enrolled in Medicare?

Yes. Robert Mccracken 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 Robert Mccracken accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Robert Mccracken 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 Robert Mccracken affiliated with any hospitals?

According to CMS data, Robert Mccracken is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Robert Mccracken was last updated on October 28, 2014. 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.