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ADAM D DRATCH MD
NPI 1891798096
Internal Medicine - Nephrology in Bethlehem, PA

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
701 OSTRUM ST, SUITE 602, BETHLEHEM, PA 18015(610) 865-5888(610) 865-1697 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam D Dratch Md NPPES

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

ADAM D DRATCH MD (NPI 1891798096) is an individual nephrology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD056986L) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1993).

NPPES Registry Identity

NPI1891798096
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameADAM D DRATCHCredential: MD
Location Address701 OSTRUM ST, SUITE 602Bethlehem, PA 18015
Mailing Address701 Ostrum St, Suite 602Bethlehem, PA 18015 · (610) 865-5888 · Fax (610) 865-1697
Phone(610) 865-5888
Fax(610) 865-1697
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1993
Enumeration DateMay 23, 2005
Last NPPES UpdateAugust 2, 2013
✔ NPI 1891798096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD056986L
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
701 OSTRUM ST, Bethlehem, PA 18015
Open in Google Maps ↗

Other Identifiers 13

Other000021049Highmark Blue Shield
Other0000222410401United Healthcare
Other01398002Capital Blue Cross
Medicare PIN390005571PA
Other1520684Gateway Health Plan
Medicaid0017115530002PA
Medicare PIN065040Q79NJ
Other56761Geisinger Health Plan
Other000000131022Unison Health Plan
Other20008586Amerihealth Mercy Health
Medicare PIN013380GPKPA
Medicare UPING76400PA
Medicaid0067962NJ

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

Adam D Dratch 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 ID3375509169
PECOS Enrollment IDI20050621000995
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
710 services312 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.
283 services195 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
95 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
56 services40 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

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

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

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

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers42 claims2,475 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims3,450 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims1,916 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers32 claims32 services$18.14 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers58 claims79 services$12.00 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 20

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

BREANNA LITTLE
Physician Assistant
701 OSTRUM ST, SUITE 302
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-6000
DR. STEPHEN ANTHONY OLENCHOCK JR. D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
701 OSTRUM ST, SUITE 201
FOUNTAIN HILL, PA 18015
Northampton County (610) 954-3890
ST. LUKE'S PHYSICIAN GROUP, INC.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 OSTRUM ST, SUITE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
LEHIGH VALLEY NEPHROLOGY ASSOC
Internal Medicine (Nephrology)
701 OSTRUM ST, SUITE 602
BETHLEHEM, PA 18015
Northampton County (610) 865-5888
BETHLEHEM SURGICAL CENTER PC
Surgery (Vascular Surgery)
701 OSTRUM ST, STE 504
BETHLEHEM, PA 18015
Northampton County (610) 867-2371
AMY D. SCOTT CRNP
Nurse Practitioner (Obstetrics & Gynecology)
701 OSTRUM ST, SUITE 203
FOUNTAIN HILL, PA 18015
Northampton County (610) 691-3603
JAN D CAUFFMAN CRNP
Nurse Practitioner
701 OSTRUM ST
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3648
GEANNINE ELISA SCHIAVONE PA-C
Physician Assistant (Medical)
701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3990

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 Adam Dratch's NPI number?

The NPI number for Adam Dratch is 1891798096. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Adam Dratch located?

Adam Dratch practices at 701 Ostrum St Suite 602, Bethlehem, PA 18015. The listed phone number is (610) 865-5888.

What is Adam Dratch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Adam Dratch enrolled in Medicare?

Yes. Adam Dratch 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 Adam Dratch affiliated with any hospitals?

According to CMS data, Adam Dratch is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health, St Luke's Hospital - Easton Campus and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Adam Dratch was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.