CLARISA R GRACIA MD
NPI 1811923055
Obstetrics & Gynecology - Reproductive Endocrinology in Philadelphia, PA

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
800 WALNUT ST FL 10, PHILADELPHIA, PA 19107(215) 829-2345(215) 829-3365 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clarisa R Gracia Md NPPES

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

CLARISA R GRACIA MD (NPI 1811923055) is an individual reproductive endocrinology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD070662L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1811923055
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameCLARISA R GRACIACredential: MD
Location Address800 WALNUT ST FL 10Philadelphia, PA 19107-5176
Mailing Address800 Walnut St Fl 10Philadelphia, PA 19107-5176 · (215) 829-2345 · Fax (215) 829-3365
Fax(215) 829-3365
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 16, 2019
✔ NPI 1811923055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in PA · MD070662L
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD070662L (PA)
800 WALNUT ST FL 10, Philadelphia, PA 19107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clarisa R Gracia 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 ID9032198635
PECOS Enrollment IDI20040716000917
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Clarisa Gracia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Internal Medicine
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
Surgery
950 S OCTORARA TRL
Parkesburg, PA 19365
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 2

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

Advanced Practice Midwife
800 WALNUT ST FL 10
PHILADELPHIA, PA 19107
Obstetrics & Gynecology (Gynecology)
800 WALNUT ST FL 10
PHILADELPHIA, PA 19107

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 Clarisa Gracia's NPI number?

The NPI number for Clarisa Gracia is 1811923055. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Clarisa Gracia located?

Clarisa Gracia practices at 800 Walnut St Fl 10, Philadelphia, PA 19107. The listed phone number is (215) 829-2345.

What is Clarisa Gracia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Clarisa Gracia enrolled in Medicare?

Yes. Clarisa Gracia 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.

Which organizations bill Medicare for Clarisa Gracia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarisa Gracia reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ) and Lancaster General Hospital (Parkesburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarisa Gracia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarisa Gracia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Clarisa Gracia 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.

When was this NPI record last updated?

The NPPES record for Clarisa Gracia was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.