CRAIG L STEMMER MD
NPI 1013900299
Internal Medicine - Nephrology in Boca Raton, FL

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
18.54/100
CMS Quality Rating
2900 N MILITARY TRL, STE 195, BOCA RATON, FL 33431(561) 241-7100(561) 241-3647 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig L Stemmer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG L STEMMER MD (NPI 1013900299) is an individual nephrology provider in Boca Raton, Florida, licensed in Florida (ME41999) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1981).

NPPES Registry Identity

NPI1013900299
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameCRAIG L STEMMERCredential: MD
Location Address2900 N MILITARY TRL, STE 195Boca Raton, FL 33431-6365
Mailing Address2900 N Military Trl, Ste 195Boca Raton, FL 33431-6365 · (561) 241-7100 · Fax (561) 241-3647
Fax(561) 241-3647
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1981
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 11, 2011
NPI 1013900299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in FL · ME41999
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2900 N MILITARY TRL, Boca Raton, FL 33431

Other Identifiers 7

Medicaid067912700FL
Other3102040United Healthcare
Other0046634Ghi
OtherP505636Oxford
Other010016136Railroad Medicare
Medicare PIN96331YFL
Medicare UPIND63821

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Craig L Stemmer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143262535
PECOS Enrollment IDI20101018000275
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

18.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost61.81

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers52 claims184 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers15 claims25 services$1.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$78.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.75 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
14 suppliers118 claims13,820 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers92 claims7,462 services$0.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2900 N MILITARY TRL, SUITE 212
BOCA RATON, FL 33431
Physician Assistant
2900 N MILITARY TRL
BOCA RATON, FL 33431
Internal Medicine (Nephrology)
2900 N MILITARY TRL, #195
BOCA RATON, FL 33431
Dentist
2900 N MILITARY TRL, STE. 212
BOCA RATON, FL 33431
Family Medicine
2900 N MILITARY TRL, SUITE #245
BOCA RATON, FL 33431
Family Medicine
2900 N MILITARY TRL
BOCA RATON, FL 33431
Chiropractor (Sports Physician)
2900 N MILITARY TRL, STE 230
BOCA RATON, FL 33431
Nurse Practitioner (Family)
2900 N MILITARY TRL, SUITE 245
BOCA RATON, FL 33431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Stemmer's NPI number?

The NPI number for Craig Stemmer is 1013900299. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Craig Stemmer located?

Craig Stemmer practices at 2900 N Military Trl Ste 195, Boca Raton, FL 33431. The listed phone number is (561) 241-7100.

What is Craig Stemmer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Craig Stemmer enrolled in Medicare?

Yes. Craig Stemmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Craig Stemmer accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Craig Stemmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig Stemmer was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.