JAMES M KRAUSE M.D.
NPI 1447224225
Internal Medicine in Spring, TX

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
72.39/100
CMS Quality Rating
2255 E MOSSY OAKS RD STE 500, SPRING, TX 77389(281) 440-5300(832) 232-5591 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About James M Krause M.d. NPPES

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

JAMES M KRAUSE M.D. (NPI 1447224225) is an individual internal medicine provider in Spring, Texas, licensed in Texas (E4881) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Tops Surgical Specialty Hospital, and is a graduate of Ohio State University College Of Medicine (1972).

NPPES Registry Identity

NPI1447224225
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES M KRAUSECredential: M.D.
Location Address2255 E MOSSY OAKS RD STE 500Spring, TX 77389-1813
Mailing Address2255 E Mossy Oaks Rd Ste 500Spring, TX 77389-1813 · (281) 440-5300 · Fax (832) 232-5591
Fax(832) 232-5591
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1972
Enumeration DateFebruary 16, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1447224225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · E4881
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.
2255 E MOSSY OAKS RD STE 500, Spring, TX 77389

Other Identifiers 4

Other110217516TX · Medicare Rr Pin
Medicaid037464701TX
Other110045193TX · Medicare Rr Pin
Other807097TX · Bcbs Of Texas

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

James M 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 ID6103738604
PECOS Enrollment IDI20100607000474
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 27

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 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.
213 services115 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
115 services95 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.
113 services81 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
107 services12 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
100 services88 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
98 services81 patients

Hospital Affiliations CMS Care Compare

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

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77389 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

72.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims43 services$6.61 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier11 claims240 services$4.33 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 18

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

Nurse Practitioner (Family)
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Nurse Practitioner (Family)
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Internal Medicine (Hematology & Oncology)
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Nurse Practitioner (Psychiatric/Mental Health)
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Nurse Practitioner (Family)
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Family Medicine
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Internal Medicine
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389
Internal Medicine
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389

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 James Krause's NPI number?

The NPI number for James Krause is 1447224225. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is James Krause located?

James Krause practices at 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389. The listed phone number is (281) 440-5300.

What is James Krause's specialty?

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

Is James Krause enrolled in Medicare?

Yes. James 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 James Krause accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list James 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 James Krause affiliated with any hospitals?

According to CMS data, James Krause is affiliated with Tops Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for James Krause was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.