DR. CRAIG LINCOLN ANTHONY M.D.
NPI 1053666594
Family Medicine in Mooresville, NC

Q: What is Craig Anthony's NPI number?

The NPI number for Craig Anthony is 1053666594. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Q: What is Craig Anthony's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Craig Anthony was last updated on January 15, 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.

Active since July 20, 2012PECOS EnrolledAccepts Medicare Assignment

88.22/100

CMS Quality Rating

106 CORPORATE PARK DR STE 200&300, MOORESVILLE, NC 28117(704) 235-9090(704) 235-9101 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Craig Lincoln Anthony M.d. NPPES

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

DR. CRAIG LINCOLN ANTHONY M.D. (NPI 1053666594) is an individual family medicine provider in Mooresville, North Carolina, licensed in North Carolina (2023-03198) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Novant Health Huntersville Medical Center, and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1053666594

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CRAIG LINCOLN ANTHONYCredential: M.D.

Location Address106 CORPORATE PARK DR STE 200&300Mooresville, NC 28117-7133

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 235-9090

Fax(704) 235-9101

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 20, 2012

Last NPPES UpdateJanuary 15, 2024

NPPES CertifiedJanuary 15, 2024

✔ NPI 1053666594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2023-03198✔ Licensed in CO · 4404

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.

106 CORPORATE PARK DR STE 200&300, Mooresville, NC 28117

Open in Google Maps ↗

Secondary Practice Location 1

Location 18510 Bryant St, Suite 200Westminster, CO 80031-3844 · Phone (303) 430-6002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

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. Craig Lincoln Anthony M.d. 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 ID2062723703

PECOS Enrollment IDI20240212003870

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 Anthony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Family Medicine

106 CORPORATE PARK DR STE 200
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1346868155 (704) 235-9090

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 4

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.

133 services95 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.

29 services27 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

22 services22 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340183

Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

88.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.96

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

4 suppliers11 claims21 services$6.61 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$13.02 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$13.30 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$169.52 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

2 suppliers21 claims21 services$84.54 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$33.95 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 6

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

MARYKAY HOLT ARNP

Nurse Practitioner