WARREN S KRACKOV (M.D.) – Diagnostic Radiology Physician, NPI 1689641136
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
507 INTERVENTIONAL RADIOLOGY in FL
Provider Addresses for WARREN S KRACKOV (M.D.)
40 VALLEY STREAM PKWY STE 100
MALVERN, PA 193551407
Phone: (610) 644-8900
Fax: (484) 924-0053
Type: Mailing
12666 Telecom Dr
Temple Terrace, FL 336370935
Phone: (813) 972-4700
Fax: (813) 972-4705
Type: Location
14055 RIVEREDGE DR STE 250
TAMPA, FL 336372141
Phone: (813) 929-5451
Type: Mailing
12666, Telecom Drive, Temple Terrace, Hillsborough County, Florida, 33637, United States
TEMPLE TERRACE, FL 336370935
Phone: (813) 972-4700
Fax: (813) 972-4705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090625000559 | I | Interventional Radiology | FL | TBD |
| I20210217002429 | I | Diagnostic Radiology | GU | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 386 | 331 | $0 |
| 70450 | Ct scan head or brain without contrast | 181 | 178 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 107 | 107 | $0 |
| 71046 | X-ray of chest, 2 views | 98 | 98 | $0 |
| 71250 | Ct scan of chest without contrast | 77 | 73 | $0 |
Insurance plans in this area (ZIP 19355)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Interventional Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | WI | |
| - | FL | |
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | KY | |
| - | FL | |
| Diagnostic Radiology | TN |
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