DR. CRAIG THOMAS KUESEL D.O.
NPI 1013925080
Psychiatry & Neurology - Neurology in Traverse City, MI

Active since August 04, 2006PECOS Enrolled
100/100
CMS Quality Rating
3922 CEDAR RUN RD, TRAVERSE CITY, MI 49684(231) 392-0430(231) 935-3438 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Jun 7, 2021, Dec 21, 2020 (3 updates tracked since 2020).

About Dr. Craig Thomas Kuesel D.o. NPPES

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

DR. CRAIG THOMAS KUESEL D.O. (NPI 1013925080) is an individual neurology provider in Traverse City, Michigan, licensed in Michigan (5101009105) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013925080
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CRAIG THOMAS KUESELCredential: D.O.
Location Address3922 CEDAR RUN RDTraverse City, MI 49684-9687
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-5000 · Fax (231) 935-5588
Fax(231) 935-3438
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1013925080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MI · 5101009105
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3922 CEDAR RUN RD, Traverse City, MI 49684

Other Identifiers 1

Medicaid114231632MI

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 (PECOS)

Dr. Craig Thomas Kuesel D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services133 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Neurology)
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Nurse Practitioner
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Neurology)
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Physician Assistant
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684

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 Kuesel's NPI number?

The NPI number for Craig Kuesel is 1013925080. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Craig Kuesel located?

Craig Kuesel practices at 3922 Cedar Run Rd, Traverse City, MI 49684. The listed phone number is (231) 392-0430.

What is Craig Kuesel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Craig Kuesel enrolled in Medicare?

Yes. Craig Kuesel is registered in the Medicare PECOS enrollment system.

What insurance does Craig Kuesel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Craig Kuesel 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 Kuesel was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.