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CRAIG JAMES THATCHER
NPI 1013984541
Oral & Maxillofacial Surgery in Moline, IL

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
930 16TH AVE, MOLINE, IL 61265(309) 797-1720(309) 797-1720 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Sep 24, 2020 (2 updates tracked since 2020).

About Craig James Thatcher NPPES

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

CRAIG JAMES THATCHER (NPI 1013984541) is an individual oral & maxillofacial surgery provider in Moline, Illinois, licensed in Illinois (19024622) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1013984541
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameCRAIG JAMES THATCHER
Location Address930 16TH AVEMoline, IL 61265
Mailing Address930 16th AveMoline, IL 61265 · (309) 797-1770 · Fax (309) 797-1791
Phone(309) 797-1720
Fax(309) 797-1720
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 3, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1013984541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in IL · 19024622
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
930 16TH AVE, Moline, IL 61265
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Craig James Thatcher 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 ID7315037637
PECOS Enrollment IDI20071226000203
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.

Medicare Billing Reassignment

Medicare enrollment records show Craig Thatcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

River Valley Oral And Maxillofacial Surgery Clinic Ltd
Same address
Oral and Maxillofacial Surgery
930 16TH AVE
Moline, IL 61265
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1235250200 (309) 797-1770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

RIVER VALLEY ORAL AND MAXILLOFACIAL SURGERY CLINIC LTD
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770
CARLETON SCOTT HLADY DDS
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770
BRADLEY J LUTCHKA
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770

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 Thatcher's NPI number?

The NPI number for Craig Thatcher is 1013984541. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Craig Thatcher located?

Craig Thatcher practices at 930 16th Ave, Moline, IL 61265. The listed phone number is (309) 797-1720.

What is Craig Thatcher's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Craig Thatcher enrolled in Medicare?

Yes. Craig Thatcher 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.

Which organization bills Medicare for Craig Thatcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Thatcher reassigns Medicare benefits to River Valley Oral And Maxillofacial Surgery Clinic Ltd (Moline, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Thatcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Craig Thatcher was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.