MICHAEL KRAFCZYK MD
NPI 1942264411
Family Medicine - Sports Medicine in Allentown, PA

Q: What is Michael Krafczyk's NPI number?

The NPI number for Michael Krafczyk is 1942264411. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Michael Krafczyk's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Michael Krafczyk was last updated on May 17, 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.

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment

84.72/100

CMS Quality Rating

250 CETRONIA RD, ALLENTOWN, PA 18104(610) 973-6200(866) 644-0894 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Krafczyk Md NPPES

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

MICHAEL KRAFCZYK MD (NPI 1942264411) is an individual sports medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD057424L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Temple University School Of Medicine (1993).

NPPES Registry Identity

NPI1942264411

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameMICHAEL KRAFCZYKCredential: MD

Location Address250 CETRONIA RDAllentown, PA 18104-9147

Mailing Address250 Cetronia Rd, Suite 303Allentown, PA 18104-9147 · (610) 973-6200 · Fax (866) 644-0894

Phone(610) 973-6200

Fax(866) 644-0894

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1993

Enumeration DateApril 13, 2006

Last NPPES UpdateMay 17, 2013

✔ NPI 1942264411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in PA · MD057424L

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD057424L (PA)

250 CETRONIA RD, Allentown, PA 18104

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Other Identifiers 3

Medicaid0018086240002PA

Medicare PIN037549PA

Medicare UPINH14844PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Michael Krafczyk 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 ID8123071925

PECOS Enrollment IDI20050221000691

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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

3,917 services517 patients

Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331

Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.

1,542 services22 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.

1,100 services608 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

978 services378 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

880 services174 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

534 services366 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.

392 services295 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

297 services229 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

201 services167 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.

110 services110 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

86 services84 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.

74 services74 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

63 services44 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.

13 services13 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

12 services11 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 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 Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390183

Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County

Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

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 18104 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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.

84.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.98

Promoting Interoperability

100

Improvement Activities

Cost

66.08

Reported Quality Measures

Advance Care Plan

99%1,141 patients4/55-star benchmark: 100%

Breast Cancer Screening

78%703 patients4/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

71%646 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

66%62 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%133 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%4,562 patients4/55-star benchmark: 100%

e-Prescribing

98%377 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

98%1,104 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

83%2,136 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

13%4,328 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,666 patients

Patients screened: 100% · 1,666 patients

96%107 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%1,428 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%165 patients4/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820

DME-Orthotic Devices · category DF011N

4 suppliers15 claims16 services$118.60 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.

LAWRENCE E WEISS M.D.

Orthopaedic Surgery (Hand Surgery)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

AMY DEVENUTO DPT

Physical Therapist

250 CETRONIA RD, SUITE 210
ALLENTOWN, PA 18104

Lehigh County (610) 674-4911

ANGELA V. FORMAZ MS, ATC

Specialist/Technologist (Athletic Trainer)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

MADHAVI CAPOCCIA D.O.

Family Medicine

250 CETRONIA RD, SUITE 115
ALLENTOWN, PA 18104

Lehigh County (610) 395-0307

MR. ABRAHAM NATHAN GILLESPIE ATC

Specialist/Technologist (Athletic Trainer)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

JENNIFER L STRANZL RD

Dietitian, Registered

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

DR. MARIE SUSAN WAGENER D.O.

Dermatology

250 CETRONIA RD, SUITE 301
ALLENTOWN, PA 18104

Lehigh County (610) 437-2378

SARA SMEY LAT, ATC

Specialist/Technologist (Athletic Trainer)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

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 Michael Krafczyk's NPI number?

The NPI number for Michael Krafczyk is 1942264411. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Michael Krafczyk located?

Michael Krafczyk practices at 250 Cetronia Rd, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Michael Krafczyk's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michael Krafczyk enrolled in Medicare?

Yes. Michael Krafczyk 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.

What insurance does Michael Krafczyk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Krafczyk 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 Michael Krafczyk affiliated with any hospitals?

According to CMS data, Michael Krafczyk is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Hazleton and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Michael Krafczyk was last updated on May 17, 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.