DR. CRAIG S GRAUL DO
NPI 1013942739
Internal Medicine in Bristol, TN

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
104 MANCHESTER PL, BRISTOL, TN 37620(423) 573-1988 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig S Graul Do NPPES

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

DR. CRAIG S GRAUL DO (NPI 1013942739) is an individual internal medicine provider in Bristol, Tennessee, licensed in Virginia (0102201380) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Dickenson Community Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2001).

NPPES Registry Identity

NPI1013942739
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CRAIG S GRAULCredential: DO
Location Address104 MANCHESTER PLBristol, TN 37620-6632
Mailing Address104 Manchester PlBristol, TN 37620-6632 · (423) 573-1988
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2001
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 19, 2011
NPI 1013942739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0102201380 Licensed in TN · DO1918
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 0102201380 (VA)
104 MANCHESTER PL, Bristol, TN 37620

Other Identifiers 17

Medicare ID-Type UnspecifiedC09011Part B Group #
Medicaid1013942739VA
Medicaid010079641VA
Other004735D11VA · Trailblazer Part B Medica
Other1213334VA · Cha
Medicare UPIN3700592TN
Medicare UPINC06181VA
OtherTN 0104VA · John Deere
Medicaid7100142630KY
Other144500VA · Anthem Blue Cross
Medicare UPIN017051H81VA
Medicaid1506538TN
Other7267547VA · Aetna
Medicare ID-Type Unspecified491303VA
Medicare UPIN103I086169TN
Medicare UPIN3001366TN
Medicare PINVAA104667VA

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

Dr. Craig S Graul Do 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 ID5597744961
PECOS Enrollment IDI20040719000719
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
51 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services47 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dickenson Community Hospital

Critical Access Hospitals · Clintwood, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491303
Location312 Hospital DriveClintwood, VA 24228 · Dickenson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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
Quality98.58
Improvement Activities40
Cost85.55

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 Graul's NPI number?

The NPI number for Craig Graul is 1013942739. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Craig Graul located?

Craig Graul practices at 104 Manchester Pl, Bristol, TN 37620. The listed phone number is (423) 573-1988.

What is Craig Graul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Craig Graul enrolled in Medicare?

Yes. Craig Graul 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 Graul accept?

Health plans from Oscar Insurance Company list Craig Graul 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.

Is Craig Graul affiliated with any hospitals?

According to CMS data, Craig Graul is affiliated with Dickenson Community Hospital.

When was this NPI record last updated?

The NPPES record for Craig Graul was last updated on April 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.