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DR. PHILLIP R KRAVETZ MD
NPI 1881660264
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Cullman, AL

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
67.86/100
CMS Quality Rating
1948 AL HIGHWAY 157 STE 250, CULLMAN, AL 35058(256) 735-5560(256) 801-7364 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2022, Dec 2, 2021, Jun 15, 2018 (3 updates tracked since 2018).

About Dr. Phillip R Kravetz Md NPPES

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

DR. PHILLIP R KRAVETZ MD (NPI 1881660264) is an individual orthopaedic surgery of the spine provider in Cullman, Alabama, licensed in Alabama (MD.39141) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and maintains a secondary practice location in Hartselle.

NPPES Registry Identity

NPI1881660264
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. PHILLIP R KRAVETZCredential: MD
Location Address1948 AL HIGHWAY 157 STE 250Cullman, AL 35058-0611
Mailing AddressPo Box 2895Cullman, AL 35056-2895 · (256) 735-5560 · Fax (256) 801-7364
Phone(256) 735-5560
Fax(256) 801-7364
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1995
Enumeration DateFebruary 27, 2006
Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1881660264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in AL · MD.39141
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1948 AL HIGHWAY 157 STE 250, Cullman, AL 35058
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Secondary Practice Location 1

Location 11635 Highway 31 NWHartselle, AL 35640-4481 · Phone (256) 735-5900 · Fax (256) 417-4719

Other Identifiers 2

Medicaid256028AL
Medicaid272089AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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

Dr. Phillip R Kravetz 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 ID9830151703
PECOS Enrollment IDI20240820001784
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

2

Medicare enrollment records show Phillip Kravetz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cullman Regional Medical Center, Inc
Same address
General Acute Care Hospital
1912 AL HIGHWAY 157
Cullman, AL 35058
  • Reassigned Medicare billing, Alabama enrollment
  • 31 clinicians in this Medicare group
NPI 1114919339 (256) 737-2000
Summit Memorial Medical Group LLC
1,205 mi
General Practice
6500 E 2ND ST
Casper, WY 82609
  • Reassigned Medicare billing, Wyoming enrollment
  • 38 clinicians in this Medicare group
NPI 1598469462 (307) 577-1000

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

Areas of Expertise CMS Part B claims 6

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.
51 services38 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
29 services29 patients
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.
24 services17 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
23 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Summit Medical Center

Acute Care Hospitals · Casper, WY
OwnershipPhysician
CMS Certification Number530034
Location6350 E 2nd StreetCasper, WY 82609 · Natrona County

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

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.

67.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.35
Promoting Interoperability89
Improvement Activities40
Cost49.68

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 Phillip Kravetz's NPI number?

The NPI number for Phillip Kravetz is 1881660264. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Phillip Kravetz located?

Phillip Kravetz practices at 1948 Al Highway 157 Ste 250, Cullman, AL 35058. The listed phone number is (256) 735-5560.

What is Phillip Kravetz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Phillip Kravetz enrolled in Medicare?

Yes. Phillip Kravetz 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 Phillip Kravetz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Kravetz reassigns Medicare benefits to 2 organizations: Cullman Regional Medical Center, Inc (Cullman, AL) and Summit Memorial Medical Group LLC (Casper, WY). 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 Phillip Kravetz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Kravetz accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Phillip Kravetz 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 Phillip Kravetz affiliated with any hospitals?

According to CMS data, Phillip Kravetz is affiliated with Sagewest Health Care, Summit Medical Center and Memorial Hospital Of Converse County.

When was this NPI record last updated?

The NPPES record for Phillip Kravetz was last updated on September 23, 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.