Active NPI
Katie E Schrack, M.D.
- Ophthalmology Physician
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD442504
- Practice address
- 100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108 - Phone
- (484) 434-2700
- Fax
- (484) 434-2793
- NPI assigned
- Jun 5, 2008
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA09638800 | NJ | |
| Ophthalmology Physician | 207W00000X | MD442504 | PA | Primary |
Addresses
Primary practice location
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Mailing address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102645179 | Medicaid | PA | |
| 0454648 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700
775 Route 70 E
Suite F180
Marlton, NJ 08053-2367
Phone (856) 596-1601
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.11 of 100
- Quality
- 78.1
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 71.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 80.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD442504 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Partners PC | Ophthalmology | Current | Accepting new patients |
| Wills Eye Ophthalmology Clinic, Inc | Ophthalmology | Current | Accepting new patients |
| Vantage Eyecare, LLC | Past | Accepting new patients | |
| Ophthalmic Partners of Delaware, PA | Ophthalmology | Past | Accepting new patients |
Locations
775 Route 70 E
Ste F180
Marlton, NJ 08053
Phone (856) 596-1601
1500 Tilton Rd
Northfield, NJ 08225
Phone (484) 434-2700
100 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (484) 434-2700
319 W State St
Media, PA 19063
Phone (610) 566-1227
840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160
840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240
840 Walnut St
Ste 920
Philadelphia, PA 19107
Phone (215) 928-3180
840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150
840 Walnut St
Ste 1250
Philadelphia, PA 19107
Phone (215) 928-3900
8025 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 423-5154
840 Walnut St
Ste 1240
Philadelphia, PA 19107
Phone (215) 836-1290
Interoperability endpoints
- katie.schrack.p1@direct.oppdoctors.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1184624009
-
- Ophthalmology Physician
- Wilmington, DE
- NPI 1750355715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1427217207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD STE 200",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "484-434-2700",
"fax_number": "484-434-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD STE 200",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "484-434-2700",
"fax_number": "484-434-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRACK",
"first_name": "KATIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA09638800",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD442504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102645179",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0454648",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.