ETHAN KENJI CRAIG MD
NPI 1114414513
Surgery in Williamsville, NY
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Ethan Craig reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buffalo, NY 14215
- Reassigned Medicare billing, New York enrollment
- 59 clinicians in this Medicare group
Buffalo, NY 14215
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
Warsaw, NY 14569
- Reassigned Medicare billing, New York enrollment
- 76 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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaleida Health
Acute Care Hospitals · Buffalo, NYSisters Of Charity Hospital
Acute Care Hospitals · Buffalo, NYKenmore Mercy Hospital
Acute Care Hospitals · Kenmore, NYErie County Medical Center
Acute Care Hospitals · Buffalo, NYMercy Hospital Of Buffalo
Acute Care Hospitals · Buffalo, NYPhysician 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.
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.
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.
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
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.
Which organizations bill Medicare for Ethan Craig's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Craig reassigns Medicare benefits to 3 organizations: University At Buffalo Surgeons Inc (Buffalo, NY), Erie County Medical Center Corporation (Buffalo, NY) and Wyoming County (Warsaw, NY). 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 Ethan Craig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ethan Craig affiliated with any hospitals?
According to CMS data, Ethan Craig is affiliated with Kaleida Health, Sisters Of Charity Hospital, Kenmore Mercy 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 23 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.
# Ethan Kenji Craig, MD · NPI 1114414513
Surgery physician in Williamsville, New York. Individual provider, active in the CMS NPPES registry since April 20, 2018.
## Identity
- **NPI:** 1114414513 (Entity type: Individual)
- **Enumerated:** April 20, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 327603 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 N MAPLEMERE RD STE 100, Williamsville, NY 14221-3182
- **Phone:** (716) 833-7112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University At Buffalo Surgeons Inc (NPI 1508898305, Buffalo, NY); Erie County Medical Center Corporation (NPI 1528233616, Buffalo, NY); Wyoming County (NPI 1316924913, Warsaw, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 31, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1114414513) · Data from the CMS NPPES public registry.