KRISTIN R RAUTZHAN PA-C
NPI 1295994473
Physician Assistant in West Reading, PA

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
420 S 5TH AVE, WEST READING, PA 19611(484) 628-3637 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristin R Rautzhan Pa-c NPPES

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

KRISTIN R RAUTZHAN PA-C (NPI 1295994473) is an individual physician assistant in West Reading, Pennsylvania, licensed in Pennsylvania (MA003643L) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Reading.

NPPES Registry Identity

NPI1295994473
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN R RAUTZHANCredential: PA-C
Location Address420 S 5TH AVEWest Reading, PA 19611
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 3, 2008
Last NPPES UpdateMay 30, 2018
NPI 1295994473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA003643L
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

420 S 5TH AVE, West Reading, PA 19611

Secondary Practice Location 1

Location 14885 De Moss Rd, Suite 201Reading, PA 19606 · Phone (610) 779-9489 · Fax (610) 779-9487

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

Kristin R Rautzhan Pa-c 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 ID8729265251
PECOS Enrollment IDI20110608000842
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 11

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, 30-39 minutes 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.
98 services98 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
79 services79 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
74 services74 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
45 services44 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.02
Promoting Interoperability96
Improvement Activities40
Cost43.7

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.

Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611
Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Obstetrics & Gynecology
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611

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 Kristin Rautzhan's NPI number?

The NPI number for Kristin Rautzhan is 1295994473. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Kristin Rautzhan located?

Kristin Rautzhan practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-3637.

What is Kristin Rautzhan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristin Rautzhan enrolled in Medicare?

Yes. Kristin Rautzhan 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.

Is Kristin Rautzhan affiliated with any hospitals?

According to CMS data, Kristin Rautzhan is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Rautzhan was last updated on May 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.