CONSTANTINE KRALIOS
NPI 1396747713
Obstetrics & Gynecology in West Mifflin, PA

Q: What is Constantine Kralios's NPI number?

The NPI number for Constantine Kralios is 1396747713. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Constantine Kralios's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

275 CLAIRTON BLVD, WEST MIFFLIN, PA 15236(412) 650-2375 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Mar 25, 2021 (2 updates tracked since 2021).

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About Constantine Kralios NPPES

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

CONSTANTINE KRALIOS (NPI 1396747713) is an individual obstetrics & gynecology provider in West Mifflin, Pennsylvania, licensed in Pennsylvania (MD419626) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1396747713

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameCONSTANTINE KRALIOS

Location Address275 CLAIRTON BLVDWest Mifflin, PA 15236-1426

Mailing Address322 Pine Wood DrWexford, PA 15090-8507

Phone(412) 650-2375

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 15, 2005

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1396747713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD419626

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

275 CLAIRTON BLVD, West Mifflin, PA 15236

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Secondary Practice Location 1

Location 1969 Greentree Rd Ste 210Pittsburgh, PA 15220-3328 · Phone (412) 920-8175

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

Constantine Kralios 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 ID6305820077

PECOS Enrollment IDI20040618000055

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 2

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 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.

15 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15236 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Other Providers at the Same Location NPPES 6

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

CELESTE DONYELLE KEPPLE PA-C

Physician Assistant (Medical)