CRAIG MICHAEL COMBS MD NPI 1003010828
Anesthesiology in Winston Salem, NC

About CRAIG MICHAEL COMBS MD

Craig Combs is an anesthesiologist established in Winston Salem, North Carolina and his medical specialization is Anesthesiology with more than 19 years of experience. He graduated from Louisiana State University School Of Medicine In Shreveport in 2004. The NPI number of this provider is 1003010828 and was assigned on June 2007. The practitioner's primary taxonomy code is 207L00000X with license number 2010-00366 (NC). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1003010828
Provider Name CRAIG MICHAEL COMBS MD
Location AddressMEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Location Phone(336) 716-2255
Mailing AddressPO BOX 344 WINSTON SALEM, NC 27102
GenderMale
NPI Entity TypeIndividual
Medical School NameLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year2004
Is Sole Proprietor?Yes
Enumeration Date06-14-2007
Last Update Date04-19-2010

An anesthesiologist like Craig Combs manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.Craig Combs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Craig Combs is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Health System, Inc.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.2010-00366
License StateNC
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255

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Mailing Address

PO BOX 344
WINSTON SALEM, NC
ZIP 27102
Phone: (336) 716-2255


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6507936416
PECOS Enrollment IDI20080604000415
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 73.5
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 74.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 80.2
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 52Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • 12Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 8 + 4 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003010828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811990815MR. GARY LEE RAY MSN, CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2555
1548264310 PETER A VALEN MD
Individual
Internal Medicine (Rheumatology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1427044973 CATHERINE MESSICK JONES MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1053393306MR. JAMES BOYD THOMAS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962484212 MARTHA SCHELL SOOTS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1659352961MS. LINDA MARIE SANGIULIANO CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6701
1376524686 KAREN M HARP CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962483297MRS. ALISA LAWSON STARBUCK RN NNP
Individual
Nurse Practitioner (Neonatal)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-6498
1477535599 RICHARD HENRY DEAN MD
Individual
Surgery (Vascular Surgery)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1366424483 CHERYL B KIRKPATRICK CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1386626349 CAROLYN RUTH FERREE MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141585 EDWARD GUS SHAW MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1356323307 ARTHUR WILLIAM BLACKSTOCK JR. MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1447232400 MARK CAUTHEN WILLINGHAM MD
Individual
Pathology (Anatomic Pathology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1528040581 BART ALAN FRIZZELL MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1396727996 RAMON VELEZ MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1154303519 PETER RIBACK LICHSTEIN MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141999 DAVID PHILIP MILLER JR. MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1497737894MRS. DONNA LEA MYERS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2540
1114900354MRS. GWENDOLYN DALY ROARKE CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069

Frequently Asked Questions

What is Craig Combs MD NPI number?

The NPI number assigned to this healthcare provider is 1003010828, registered as an "individual" on June 14, 2007

Where is Craig Combs MD located?

The provider is located at Medical Center Blvd Winston Salem, Nc 27157 and the phone number is (336) 716-2255

Which is Craig Combs MD specialty?

The provider's speciality is Anesthesiology

How many years of experience does Craig Combs MD have?

The provider has more than 19 years of experience. He graduated from Louisiana State University School Of Medicine In Shreveport in 2004.

Is Craig Combs MD registered in PECOS?

Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Craig Combs MD?

The most common procedures or services performed by this practitioner are: Insertion of arterial catheter for blood sampling or infusion, accessed through the skin and Insertion of central venous catheter for infusion, patient 5 years or older.

How do I update my NPI information?

The NPI record of Craig Combs MD was last updated on June 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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