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KATHERINE RAUSA M.D.
NPI 1235212044
Internal Medicine - Nephrology in South San Francisco, CA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080(650) 742-2000 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2023, Oct 26, 2023 (2 updates tracked since 2023).

About Katherine Rausa M.d. NPPES

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

KATHERINE RAUSA M.D. (NPI 1235212044) is an individual nephrology provider in South San Francisco, California, licensed in California (A118168) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2003).

NPPES Registry Identity

NPI1235212044
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameKATHERINE RAUSACredential: M.D.
Location Address1200 EL CAMINO REALSouth San Francisco, CA 94080-3299
Mailing Address1200 El Camino RealSouth San Francisco, CA 94080-3299 · (650) 742-2000
Phone(650) 742-2000
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2003
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1235212044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A118168
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1200 EL CAMINO REAL, South San Francisco, CA 94080
Open in Google Maps ↗

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

Katherine Rausa 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 ID9234233321
PECOS Enrollment IDI20111004000430
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

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 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.
31 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94080 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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…
88%136 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%70 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%446 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%633 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%85 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%203 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
82%198 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 187 patients
88%121 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%203 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%203 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 119 patients
0%119 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%203 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers44 claims3,600 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims3,300 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers44 claims5,124 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,560 services$0.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers56 claims56 services$17.91 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers64 claims67 services$11.33 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.

SANDRA MOONHEE LEE PHARM. D.
Pharmacist
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2627
MELISSA ARGENTE RT
Respiratory Therapist, Registered
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-3313
DR. JAMES NICHOLAS PEROS MD
Internal Medicine
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2000
DR. PIERSON CHIOU M.D.
Radiology (Diagnostic Radiology)
1200 EL CAMINO REAL, 1ST FLOOR, DEPARTMENT OF RADIOLOGY
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-3882
MS. LARELL LOUISE FINEREN CRNA
Nurse Anesthetist, Certified Registered
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-3037
EDMOND L. SCHMULBACH MD
Internal Medicine (Hematology & Oncology)
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2000
EDWARD J. BADDOUR MD
Emergency Medicine
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2000
ESTHER KOESHADI PHARM.D.
Pharmacist
1200 EL CAMINO REAL, KAISER PERMANENTE INPATIENT PHARMACY 3RD FLOOR
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2486

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 Katherine Rausa's NPI number?

The NPI number for Katherine Rausa is 1235212044. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Katherine Rausa located?

Katherine Rausa practices at 1200 El Camino Real, South San Francisco, CA 94080. The listed phone number is (650) 742-2000.

What is Katherine Rausa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Katherine Rausa enrolled in Medicare?

Yes. Katherine Rausa 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.

When was this NPI record last updated?

The NPPES record for Katherine Rausa was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.