MR. CRAIG ALAN GUNTER M.D.
NPI 1174598312
Family Medicine in Tyler, TX

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
4111 UNIVERSITY BLVD, TYLER, TX 75701(903) 266-3400 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Craig Alan Gunter M.d. NPPES

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

MR. CRAIG ALAN GUNTER M.D. (NPI 1174598312) is an individual family medicine provider in Tyler, Texas, licensed in Texas (L1057) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1999).

NPPES Registry Identity

NPI1174598312
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. CRAIG ALAN GUNTERCredential: M.D.
Location Address4111 UNIVERSITY BLVDTyler, TX 75701-6623
Mailing Address4111 University BlvdTyler, TX 75701-6623 · (903) 266-3400 · Fax (903) 266-3400
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1999
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1174598312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L1057
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License L1057 (TX)
4111 UNIVERSITY BLVD, Tyler, TX 75701

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

Mr. Craig Alan Gunter M.d. 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 ID1052326147
PECOS Enrollment IDI20060210000225
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
210 services153 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
141 services135 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
134 services97 patients
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.
39 services32 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%146 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
4111 UNIVERSITY BLVD
TYLER, TX 75701
Family Medicine (Hospice and Palliative Medicine)
4111 UNIVERSITY BLVD
TYLER, TX 75701
Nurse Practitioner (Family)
4111 UNIVERSITY BLVD
TYLER, TX 75701
Specialist
4111 UNIVERSITY BLVD
TYLER, TX 75701
Family Medicine (Hospice and Palliative Medicine)
4111 UNIVERSITY BLVD
TYLER, TX 75701
Family Medicine (Hospice and Palliative Medicine)
4111 UNIVERSITY BLVD
TYLER, TX 75701
Nurse Practitioner (Family)
4111 UNIVERSITY BLVD
TYLER, TX 75701
Internal Medicine (Hospice and Palliative Medicine)
4111 UNIVERSITY BLVD
TYLER, TX 75701

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 Gunter's NPI number?

The NPI number for Craig Gunter is 1174598312. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Craig Gunter located?

Craig Gunter practices at 4111 University Blvd, Tyler, TX 75701. The listed phone number is (903) 266-3400.

What is Craig Gunter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Craig Gunter enrolled in Medicare?

Yes. Craig Gunter 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 Gunter accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Craig Gunter 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 Gunter affiliated with any hospitals?

According to CMS data, Craig Gunter is affiliated with Ut Health East Texas Tyler Regional Hospital and Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Craig Gunter was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.