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DR. JOHN RALPH HRATKO MD
NPI 1659369841
Obstetrics & Gynecology in Nazareth, PA

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
207 N MAIN ST, NAZARETH, PA 18064(610) 746-2061(610) 365-8636 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Ralph Hratko Md NPPES

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

DR. JOHN RALPH HRATKO MD (NPI 1659369841) is an individual obstetrics & gynecology provider in Nazareth, Pennsylvania, licensed in Pennsylvania (037569-E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1659369841
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN RALPH HRATKOCredential: MD
Location Address207 N MAIN STNazareth, PA 18064-1444
Mailing Address207 N Main StNazareth, PA 18064-1444 · (610) 746-2061 · Fax (610) 365-8636
Phone(610) 746-2061
Fax(610) 365-8636
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 11, 2005
Last NPPES UpdateOctober 20, 2016
✔ NPI 1659369841 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 · 037569-E
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.
207 N MAIN ST, Nazareth, PA 18064
Open in Google Maps ↗

Other Identifiers 14

Other672920Keystone Healthplan Centr
Other672920Senior Blue
Medicaid0018878060001PA
Other160035967Railroad Medicare
Other672920Highmark
Medicare UPINC53974
Other01046501Capital Blue Cross
Other050619400Personal Choice
Other672920PA · Medicare/cms
Other050619400Keystone Health Plan East
Other1520361Gateway
Other9084429001Cigna
Other1136059/05Medical Assitance/access
Other5052165Aetna Us Healthcare

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. John Ralph Hratko Md 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 ID9335153238
PECOS Enrollment IDI20060131000222, I20241120001476
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 5

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.

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.
101 services101 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.
52 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services29 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
36 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18064 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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ST. LUKE'S PHYSICIAN GROUP INC.
Obstetrics & Gynecology
207 N MAIN ST
NAZARETH, PA 18064
Northampton County (484) 503-8255

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 John Hratko's NPI number?

The NPI number for John Hratko is 1659369841. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is John Hratko located?

John Hratko practices at 207 N Main St, Nazareth, PA 18064. The listed phone number is (610) 746-2061.

What is John Hratko's specialty?

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

Is John Hratko enrolled in Medicare?

Yes. John Hratko 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 John Hratko affiliated with any hospitals?

According to CMS data, John Hratko is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, Lehigh Valley Hospital, St Luke's Hospital - Easton Campus and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for John Hratko was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.