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ETHAN KENJI CRAIG MD
NPI 1114414513
Surgery in Williamsville, NY

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
111 N MAPLEMERE RD STE 100, WILLIAMSVILLE, NY 14221(716) 833-7112 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Apr 20, 2018 (2 updates tracked since 2018).

About Ethan Kenji Craig Md NPPES

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

ETHAN KENJI CRAIG MD (NPI 1114414513) is an individual surgery provider in Williamsville, New York, licensed in New York (327603) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1114414513
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameETHAN KENJI CRAIGCredential: MD
Location Address111 N MAPLEMERE RD STE 100Williamsville, NY 14221-3182
Mailing Address111 N Maplemere Rd Ste 100Williamsville, NY 14221-3182 · (716) 833-7112
Phone(716) 833-7112
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 20, 2018
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1114414513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 327603✔ Licensed in FL · ME162962
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
111 N MAPLEMERE RD STE 100, Williamsville, NY 14221
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Kenji Craig Md 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 ID6204173370
PECOS Enrollment IDI20240727000164
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 16

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

DR. MARK JOSPEH SIEDLECKI PT, DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
MS. PENELOPE LYN MCCLURG PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
CAITLIN TAYLOR PA
Physician Assistant
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
DR. ERIN MARGARET EGAN PT, DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
BRANDON YAX DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
SRIDHAR R RACHALA MBBS
Orthopaedic Surgery
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
DR. LINDSAY ROSE KOSINSKI MD
Orthopaedic Surgery
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
DR. SAGAR SONI
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200

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 Ethan Craig's NPI number?

The NPI number for Ethan Craig is 1114414513. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Ethan Craig located?

Ethan Craig practices at 111 N Maplemere Rd Ste 100, Williamsville, NY 14221. The listed phone number is (716) 833-7112.

What is Ethan Craig's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ethan Craig enrolled in Medicare?

Yes. Ethan Craig 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.

Is Ethan Craig affiliated with any hospitals?

According to CMS data, Ethan Craig is affiliated with Kaleida Health, Sisters Of Charity Hospital, Erie County Medical Center and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Ethan Craig was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.