CRAIG J KRAUSE DO
NPI 1992805519
Family Medicine in Tamaqua, PA

Q: What is Craig Krause's NPI number?

The NPI number for Craig Krause is 1992805519. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Craig Krause's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Krause was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 24, 2006PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

34 S RAILROAD ST, TAMAQUA, PA 18252(570) 668-0180(570) 668-6975 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Craig J Krause Do NPPES

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

CRAIG J KRAUSE DO (NPI 1992805519) is an individual family medicine provider in Tamaqua, Pennsylvania, licensed in Pennsylvania (OS004401L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Philadelphia College Of Osteopathic Medicine (1979).

NPPES Registry Identity

NPI1992805519

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCRAIG J KRAUSECredential: DO

Location Address34 S RAILROAD STTamaqua, PA 18252-1927

Mailing Address34 S Railroad StTamaqua, PA 18252-1927 · (570) 668-0183 · Fax (570) 668-6975

Phone(570) 668-0180

Fax(570) 668-6975

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1979

Enumeration DateSeptember 24, 2006

Last NPPES UpdateSeptember 6, 2012

✔ NPI 1992805519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS004401L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

34 S RAILROAD ST, Tamaqua, PA 18252

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Other Identifiers 2

Medicare UPINC31799PA

Medicare ID-Type Unspecified146561PW · Medicare

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

Craig J Krause Do 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 ID345283925

PECOS Enrollment IDI20100326000474

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 14

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 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.

669 services408 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

344 services344 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

152 services150 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

151 services149 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.

125 services105 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

99 services78 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

81 services81 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

42 services38 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

30 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

27 services14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

21 services21 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services16 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

14 services12 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

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

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390335

Location500 St Luke's DriveLehighton, PA 18235 · Carbon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18252 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.

95.64/100

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

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 19

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers192 claims353 services$6.30 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

6 suppliers22 claims22 services$2.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers84 claims98 services$1.07 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604