DR. MADUSHINI GUNAWARDANA CRANER D.O
NPI 1033474861
Family Medicine in Pennsburg, PA

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
101 W 7TH ST STE 2A, PENNSBURG, PA 18073(484) 763-5445 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2020, Dec 16, 2019, Mar 16, 2017 (3 updates tracked since 2017).

About Dr. Madushini Gunawardana Craner D.o NPPES

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

DR. MADUSHINI GUNAWARDANA CRANER D.O (NPI 1033474861) is an individual family medicine provider in Pennsburg, Pennsylvania, licensed in Pennsylvania (OS018592) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and maintains a secondary practice location in Pottstown.

NPPES Registry Identity

NPI1033474861
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MADUSHINI GUNAWARDANA CRANERCredential: D.O
Location Address101 W 7TH ST STE 2APennsburg, PA 18073-1512
Mailing Address1601 Medical DrPottstown, PA 19464-3241 · (610) 327-4200 · Fax (610) 327-8160
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 9, 2012
Last NPPES UpdateJanuary 16, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1033474861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS018592✔ Licensed in PA · OT011487
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 W 7TH ST STE 2A, Pennsburg, PA 18073

Secondary Practice Location 1

Location 11555 Medical DrPottstown, PA 19464-3224 · Phone (610) 326-7820 · Fax (610) 326-4068

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

Dr. Madushini Gunawardana Craner D.o 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 ID8628354503
PECOS Enrollment IDI20170406002464
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 Reassignments

2

Medicare enrollment records show Madushini Craner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Rheumatology
101 W 7TH ST STE 2C
Pennsburg, PA 18073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Internal Medicine
321 N FURNACE ST STE 100
Birdsboro, PA 19508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

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 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.
86 services70 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.
80 services80 patients
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.
56 services48 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
39 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 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.
29 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18073 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers11 claims26 services$5.30 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 4

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

Family Medicine
101 W 7TH ST STE 2A
PENNSBURG, PA 18073
Family Medicine
101 W 7TH ST STE 2A
PENNSBURG, PA 18073
Family Medicine
101 W 7TH ST STE 2A
PENNSBURG, PA 18073
Physician Assistant (Medical)
101 W 7TH ST STE 2A
PENNSBURG, PA 18073

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 Madushini Craner's NPI number?

The NPI number for Madushini Craner is 1033474861. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Madushini Craner located?

Madushini Craner practices at 101 W 7th St Ste 2A, Pennsburg, PA 18073. The listed phone number is (484) 763-5445.

What is Madushini Craner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madushini Craner enrolled in Medicare?

Yes. Madushini Craner 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 organizations bill Medicare for Madushini Craner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madushini Craner reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Pennsburg, PA) and Tower Health Medical Group (Birdsboro, PA). Each 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 Madushini Craner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Madushini Craner affiliated with any hospitals?

According to CMS data, Madushini Craner is affiliated with Pottstown Hospital, Phoenixville Hospital and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Madushini Craner was last updated on January 16, 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.