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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

University Of Virginia Physicians Group
1.1 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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

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
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

HEATHER STEVENS SPADER MD
Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5749
DR. ASMA SHAHID HABIB M.D.
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-9119
JENNIFER MOORE ANDREWS D.O.
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
WILLIAM G. WILSON M.D.
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
CHRISTIAN A. CHISHOLM MD
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2500
LINDA A. WAGGONER FOUNTAIN MD
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
ANNE C BUTZ LCSW
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5321
KEITH R. BACHMANN M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2301

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 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.

Where is Craig Mckinney located?

Craig Mckinney practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-0123.

What is Craig Mckinney's specialty?

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

Is Craig Mckinney enrolled in Medicare?

Yes. Craig Mckinney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Craig Mckinney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Mckinney reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). 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 Mckinney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Mckinney accept?

Health plans from Oscar Health list Craig Mckinney 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.

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.