Phillip R Kravetz, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

MD.39141 Issued in AL

Practice address

1948 Al Highway 157 Ste 250
Cullman, AL 35058-0611

Phone

(256) 735-5560

Fax

(256) 801-7364

NPI assigned

Feb 27, 2006

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Neurosurgery

Education

University of Michigan Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Medical Center Hospital, Casper, WY, CCN 530034
• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Sagewest Health Care Hospital, Riverton, WY, CCN 530008

Merit-based Incentive Payment System (MIPS)

Final score

76.37 of 100Reported as group

Quality

45.96

Promoting interoperability

100

Improvement activities

40

Cost

75.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Summit Memorial Medical Group LLC

  • General Practice Physician
  • Casper, WY
  • NPI 1598469462
  Medicare reassignment Care Compare group NPD
• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Medicare reassignment NPD
• Cullman Regional Medical Center, Inc

  dba CRMC Cardiology Clinic

  • Medical Specialty Clinic/Center
  • Cullman, AL
  • NPI 1477862134
  NPD
• Cullman Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Hartselle, AL
  • NPI 1710640305
  NPD
• Orthoarkansas, P.a.

  • Orthopaedic Surgery Physician
  • Little Rock, AR
  • NPI 1932191822
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Riverton Memorial Hospital LLC

  dba SageWest Health Care

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  Care Compare affiliation
• Summit Medical Center, LLC

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1609297506
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1881660264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562895",
            "telephone_number": "256-735-5560",
            "fax_number": "256-801-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 AL HIGHWAY 157 STE 250",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580611",
            "telephone_number": "256-735-5560",
            "fax_number": "256-801-7364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Highway 31 NW",
            "address_purpose": "LOCATION",
            "city": "Hartselle",
            "state": "AL",
            "postal_code": "356404481",
            "country_code": "US",
            "telephone_number": "256-735-5900",
            "fax_number": "256-417-4719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAVETZ",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AL",
            "license": "MD.39141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256028",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272089",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Suzanne Knight, CRNP
• Kari Denise Knighten, LMSW
• Jamie Knox
• Aemad Komarizadeh, DO
• Audrey Kos, MD
• Teresa M Kyle, RPT
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Shannon Laframboise, MA
• Christopher C Laganke, MD

• Orthopaedic Surgery of the Spine Physician in Cullman, AL
• Providers in Cullman, AL by specialty
• Orthopaedic Surgery of the Spine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.

Verify at the official NPI Registry.