DR. CRAIG S SELF MD
NPI 1154301844
Ophthalmology in Statesville, NC

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
646 HARTNESS RD, STATESVILLE, NC 28677(704) 872-4108(704) 873-6517 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, May 7, 2018 (2 updates tracked since 2018).

About Dr. Craig S Self Md NPPES

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

DR. CRAIG S SELF MD (NPI 1154301844) is an individual ophthalmology provider in Statesville, North Carolina, licensed in North Carolina (2006-01037) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Brody School Of Medicine At East Carolina University (1994).

NPPES Registry Identity

NPI1154301844
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CRAIG S SELFCredential: MD
Location Address646 HARTNESS RDStatesville, NC 28677-3423
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 873-6517
Fax(704) 873-6517
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1994
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1154301844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 2006-01037 Licensed in WI · 37314-020
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

646 HARTNESS RD, Statesville, NC 28677

Other Identifiers 11

Other1447CNC · Bcbs Nc
Other7405845NC · Aetna
OtherP00421356SC · Railroad Medicare
Medicaid5906409NC
Other000000293958SC · Unison Health Plan Sc
Other2687NC · Evolutions
Other81899SC · Chc Cares Of Sc
MedicaidQ37006SC
Other01152096SC · Amerigroup Community Care
Other199111NC · Medcost
Other20096155SC · Select Health Of Sc

Accepted Insurance

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

Dr. Craig S Self 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 ID4284734369
PECOS Enrollment IDI20070703000555
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 13

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
693 services664 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
417 services350 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services161 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
186 services159 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
128 services86 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
124 services85 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims15 services$63.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Ophthalmology
646 HARTNESS RD
STATESVILLE, NC 28677
Ophthalmology
646 HARTNESS RD
STATESVILLE, NC 28677
Ophthalmology
646 HARTNESS RD
STATESVILLE, NC 28677
Ophthalmology
646 HARTNESS RD
STATESVILLE, NC 28677

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 Self's NPI number?

The NPI number for Craig Self is 1154301844. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Craig Self located?

Craig Self practices at 646 Hartness Rd, Statesville, NC 28677. The listed phone number is (704) 872-4108.

What is Craig Self's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Craig Self enrolled in Medicare?

Yes. Craig Self 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.

What insurance does Craig Self accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Craig Self 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.

Is Craig Self affiliated with any hospitals?

According to CMS data, Craig Self is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Craig Self was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.