DR. KRISTINA KRAMER M.D.
NPI 1598714511
Internal Medicine - Critical Care Medicine in Walnut Creek, CA

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
96.86/100
CMS Quality Rating
2637 SHADELANDS DR, WALNUT CREEK, CA 94598(925) 932-6330(925) 932-0139 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kristina Kramer M.d. NPPES

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

DR. KRISTINA KRAMER M.D. (NPI 1598714511) is an individual critical care medicine provider in Walnut Creek, California, licensed in California (A79481) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1996).

NPPES Registry Identity

NPI1598714511
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. KRISTINA KRAMERCredential: M.D.
Location Address2637 SHADELANDS DRWalnut Creek, CA 94598-2512
Mailing Address2637 Shadelands DrWalnut Creek, CA 94598-2512 · (925) 932-6330 · Fax (925) 932-0139
Fax(925) 932-0139
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1996
Enumeration DateMay 8, 2006
Last NPPES UpdateJanuary 25, 2018
NPI 1598714511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · A79481
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A79481 (CA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License A79481 (CA)
2637 SHADELANDS DR, Walnut Creek, CA 94598

Other Identifiers 2

Other290015288CA · Medicare Rail Road Board
Medicaid00A794810CA

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

Dr. Kristina Kramer 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 ID42219693
PECOS Enrollment IDI20061209000102
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 18

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. 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.
871 services390 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
441 services174 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
274 services155 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services88 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.
115 services115 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.
108 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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.

96.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 30

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers128 claims128 services$34.23 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers16 claims33 services$1.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers66 claims66 services$71.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers59 claims138 services$28.12 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers63 claims353 services$16.95 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers44 claims230 services$13.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 5% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
40
Breast Cancer Screening 88% 254
Cervical Cancer Screening 57% 136
Colorectal Cancer Screening 75% 438
Controlling High Blood Pressure 83% 320
Diabetes: Eye Exam 32% 75
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 24% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
75
Documentation of Current Medications in the Medical Record 53% 3017
e-Prescribing 98% 897
Falls: Screening for Future Fall Risk 54% 947
HIV Screening 27% 262
Oncology: Medical and Radiation - Pain Intensity Quantified 5% 20
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 49% 1177
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 43% 821
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 671
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50% 22
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96% 671
Provide Patients Electronic Access to Their Health Information 100% 482
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81% 502

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.

Nurse Practitioner (Acute Care)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Internal Medicine (Gastroenterology)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Anesthesiology
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Clinic/Center (Magnetic Resonance Imaging (MRI))
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Clinical Medical Laboratory
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Surgery (Vascular Surgery)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Obstetrics & Gynecology (Gynecologic Oncology)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598714511, enumerated as an "individual" on May 08, 2006.

The provider is located at 2637 SHADELANDS DR WALNUT CREEK, CA 94598 and the phone number is (925) 932-6330.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.