CRAIG B REEDER M.D.
NPI 1134102536
Internal Medicine - Hematology & Oncology in Phoenix, AZ


Quality Rating: 78.58 out of 100 score

NPI Status: Active since November 21, 2005

Contact Information

5777 E MAYO BLVD
PHOENIX, AZ
ZIP 85054
Phone: (480) 515-6296

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NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Oct 31, 2023, Sep 8, 2020, Mar 13, 2019 and 2 more (5 updates tracked since 2018).

  • Individual
  • Male
  • Internal Medicine
  • Hematology & Oncology
  • Accepts Insurance

About CRAIG REEDER

This page provides the complete NPI Profile along with additional information for Craig Reeder, an internist established in Phoenix, Arizona with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1134102536 assigned on November 2005. The practitioner's primary taxonomy code is 207RH0003X with license number 16102 (AZ). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1134102536
Provider Name
CRAIG B REEDER M.D.
Gender
Male
Entity Type
Individual
Location Address
5777 E MAYO BLVD PHOENIX, AZ 85054
Location Phone
(480) 515-6296
Mailing Address
5777 E MAYO BLVD PHOENIX, AZ 85054
Mailing Phone
(480) 515-6296
Is Sole Proprietor?
No
Enumeration Date
11-21-2005
Last Update Date
10-31-2023
Code Navigator

An internist like Craig Reeder is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
License No.
16102
License State
AZ
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

24842 (MN)
2207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

G50238 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.58, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 78.58 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 69.05

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category comprises 40% of a provider's final MIPS score.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category comprises 25% of a provider's final MIPS score.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category comprises 15% of a provider's final MIPS score.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category comprises 15% of a provider's final MIPS score.

  • Cost Score: 59.56

    The Cost performance category assesses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category comprises 20% of a provider's final MIPS score.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134102536, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 2 + 0 + 4 + 5 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1134102536.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Radiology (Vascular & Interventional Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant (Medical)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Internal Medicine (Hematology & Oncology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Nurse Anesthetist, Certified Registered
5777 E MAYO BLVD
PHOENIX, AZ 85054
Nurse Anesthetist, Certified Registered
5777 E MAYO BLVD
PHOENIX, AZ 85054
Nurse Anesthetist, Certified Registered
5777 E MAYO BLVD
PHOENIX, AZ 85054
Nurse Anesthetist, Certified Registered
5777 E MAYO BLVD
PHOENIX, AZ 85054
Nurse Anesthetist, Certified Registered
5777 E MAYO BLVD
PHOENIX, AZ 85054
Nurse Anesthetist, Certified Registered
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant (Medical)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Anesthesiology
5777 E MAYO BLVD
PHOENIX, AZ 85054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134102536, enumerated as an "individual" on November 21, 2005.

The provider is located at 5777 E MAYO BLVD PHOENIX, AZ 85054 and the phone number is (480) 515-6296.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.