CRAIG ANDREW MCKINNEY M.D.
NPI 1053707364
Pediatrics - Pediatric Gastroenterology in Charlottesville, VA

Q: What is Craig Mckinney's NPI number?

The NPI number for Craig Mckinney is 1053707364. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Craig Mckinney's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Craig Mckinney was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 13, 2015PECOS Enrolled

79.39/100

CMS Quality Rating

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 924-3300 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Jul 31, 2021 (2 updates tracked since 2021).

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About Craig Andrew Mckinney M.d. NPPES

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

CRAIG ANDREW MCKINNEY M.D. (NPI 1053707364) is an individual pediatric gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101265123) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1053707364

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameCRAIG ANDREW MCKINNEYCredential: M.D.

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 924-0123

Fax(434) 924-3300

Sole ProprietorNo

Enumeration DateApril 13, 2015

Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1053707364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in VA · 0101265123

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1204 W MAIN ST, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig Andrew Mckinney M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

79.39/100

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

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

Other Providers at the Same Location NPPES 20

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

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