PHILIP B. KRAUSE M.D.
NPI 1295846251
Internal Medicine - Cardiovascular Disease in Skokie, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076(847) 676-1333(847) 676-1727 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2021, Jan 22, 2020, Dec 19, 2018 (3 updates tracked since 2018).

About Philip B. Krause M.d. NPPES

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

PHILIP B. KRAUSE M.D. (NPI 1295846251) is an individual cardiovascular disease provider in Skokie, Illinois, licensed in Illinois (036077928) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1295846251
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePHILIP B. KRAUSECredential: M.D.
Location Address9650 GROSS POINT RD STE 4900Skokie, IL 60076-1214
Mailing Address9650 Gross Point Rd Ste 4900Skokie, IL 60076-1214 · (847) 676-1333 · Fax (847) 676-1727
Fax(847) 676-1727
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
NPI 1295846251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036077928
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
9650 GROSS POINT RD STE 4900, Skokie, IL 60076

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

Philip B. Krause 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 ID6608891049
PECOS Enrollment IDI20051013001012
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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,125 services985 patients
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.
677 services474 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
576 services574 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
408 services329 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.
248 services151 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
236 services234 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Nurse Practitioner (Family)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Cardiovascular Disease)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Clinical Cardiac Electrophysiology)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Interventional Cardiology)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Cardiovascular Disease)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Surgery (Vascular Surgery)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076
Internal Medicine (Cardiovascular Disease)
9650 GROSS POINT RD STE 4900
SKOKIE, IL 60076

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 Philip Krause's NPI number?

The NPI number for Philip Krause is 1295846251. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Philip Krause located?

Philip Krause practices at 9650 Gross Point Rd Ste 4900, Skokie, IL 60076. The listed phone number is (847) 676-1333.

What is Philip Krause's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Philip Krause enrolled in Medicare?

Yes. Philip Krause 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 Philip Krause accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Philip Krause 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 Philip Krause affiliated with any hospitals?

According to CMS data, Philip Krause is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital, Northwestern Lake Forest Hospital, Advocate Lutheran General Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Philip Krause was last updated on February 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.