Active NPI 1245250943 Individual Practitioner Male Practitioner

Dr. Kris R. Kaulback , MD

Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kris Kaulback, MD is a certified Surgery practicing in Philadelphia, PA. With approximately 32 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1994, Dr. Kaulback delivers high-quality medical care to the local community at 1100 WALNUT ST.

Dr. Kaulback is affiliated with Main Line Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Walnut St

Philadelphia, PA 191075563

Telephone 2159556750

Fax 2159238222

Associated Practice Facility / Clinic

🏢 Daniels Medical Associates Facility NPI 1861460339

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +11.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaulback (32 Years) 32 Yrs

Philadelphia Specialty Average (20.6 Years) 20.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	155	98	$155.00	$79.49
99291 Critical care, first 30-74 minutes	55	23	$572.18	$214.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	37	$95.00	$49.98
99238 Hospital discharge day management, 30 minutes or less	28	28	$200.00	$81.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$315.00	$131.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$435.00	$174.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	108	$143.13	$82.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	34	$85.45	$52.10
99291 Critical care, first 30-74 minutes	37	22	$541.76	$223.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$382.92	$181.47
99238 Hospital discharge day management, 30 minutes or less	12	12	$200.00	$84.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	214	139	$130.00	$74.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$360.00	$208.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	35	$75.00	$40.86
99291 Critical care, first 30-74 minutes	29	14	$475.00	$231.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	228	144	$130.00	$76.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	32	$75.00	$40.62
99291 Critical care, first 30-74 minutes	37	18	$475.00	$234.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$360.00	$212.58
31600 Opening of windpipe through neck for insertion of breathing tube	14	14	$1085.00	$335.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	180	125	$130.00	$77.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	45	$75.00	$41.65
99291 Critical care, first 30-74 minutes	30	15	$475.00	$239.84
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$175.00	$110.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$360.00	$218.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$245.00	$148.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	146	$130.00	$77.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	66	$75.00	$41.68
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$175.00	$109.01
99291 Critical care, first 30-74 minutes	30	20	$475.00	$231.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$245.00	$146.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$60.00	$24.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	201	143	$130.00	$76.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	109	93	$75.00	$41.48
99291 Critical care, first 30-74 minutes	43	29	$475.00	$235.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$245.00	$144.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$360.00	$214.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$60.00	$22.99
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$175.00	$107.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	127	$130.00	$75.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	63	$75.00	$41.31
99291 Critical care, first 30-74 minutes	55	34	$475.00	$235.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$360.00	$213.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$245.00	$144.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$60.00	$21.50

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD060588L

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License PA MD060588L

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License PA MD060588L

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001793933 (PA)

Medicaid State Provider ID

8168903 (NJ)

Hospital & Practice Group Affiliations

Main Line Healthcare

100 E Lancaster Ave, Wynewood, PA 190963450

Phone: 6106421908

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Anirudh Kohli , MD

Surgery

NPI 1003104274

Doctor of Medicine (M.D.)

Dr. Tyler Grenda , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1023337821

Doctor of Medicine (M.D.)

Dr. David Rittenhouse , MD

Surgery

NPI 1043408206

Doctor of Medicine (M.D.)

Dr. Hooman Noorchashm , MD

Surgery

NPI 1053463885

Doctor of Medicine (M.D.)

Dr. David Paik , MD

Surgery - Surgical Critical Care

NPI 1053469544

Doctor of Medicine (M.D.)

Dr. Adam Berger , MD

Surgery

NPI 1073533394

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 31, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2011

Registered at 1100 WALNUT ST, PHILADELPHIA, PA 191075563 (Tel: 2159556750)

📍

Updated Business Mailing Address May 31, 2011

Registered at 615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 191064404

👤

Provider Name / Credentials Updated May 31, 2011

Recorded as KRIS KAULBACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2011

Surgery (License #MD060588L in PA)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245250943

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2006

Last Update: May 31, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

615 Chestnut St, 14th Floor

Philadelphia, PA 191064404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.