CRAIG C MCKIRGAN D.O.
NPI 1225098916
Orthopaedic Surgery - Sports Medicine in Indiana, PA

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
120 IRMC DR, SUITE 160, INDIANA, PA 15701(724) 465-2676(724) 349-1830 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Craig C Mckirgan D.o. NPPES

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

CRAIG C MCKIRGAN D.O. (NPI 1225098916) is an individual sports medicine provider in Indiana, Pennsylvania, licensed in Pennsylvania (OS008464L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1988).

NPPES Registry Identity

NPI1225098916
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameCRAIG C MCKIRGANCredential: D.O.
Location Address120 IRMC DR, SUITE 160Indiana, PA 15701-3674
Mailing Address120 Irmc Dr, Suite 160Indiana, PA 15701-3674 · (724) 465-2676 · Fax (724) 349-1830
Fax(724) 349-1830
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1988
Enumeration DateMarch 25, 2006
Last NPPES UpdateApril 25, 2016
NPI 1225098916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in PA · OS008464L
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

120 IRMC DR, Indiana, PA 15701

Other Identifiers 4

Medicare UPINF84744PA
Medicare PIN055947GMDPA
Medicaid0014692800001PA
Medicare PIN188868PA

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

Craig C Mckirgan D.o. 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 ID1355443110
PECOS Enrollment IDI20080229000267
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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,100 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
150 services85 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.
100 services82 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.
68 services60 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
57 services41 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
55 services55 patients

Hospital Affiliations CMS Care Compare

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
27%251 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
100%55 patients5/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%32 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,821 patients4/55-star benchmark: 100%
e-Prescribing
94%256 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%806 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%21 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%1,778 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,874 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%2,660 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 48% · 945 patients
Patients screened: 59% · 945 patients
19%124 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
24%735 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%50 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 845 patients
Patients totalRate: 0% · 845 patients
0%845 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 16

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

Orthopaedic Surgery (Sports Medicine)
120 IRMC DR, SUITE 160
INDIANA, PA 15701
Orthopaedic Surgery
120 IRMC DR, SUITE 160
INDIANA, PA 15701
Podiatrist
120 IRMC DR, SUITE160
INDIANA, PA 15701
Orthopaedic Surgery (Sports Medicine)
120 IRMC DR, SUITE160
INDIANA, PA 15701
Internal Medicine (Rheumatology)
120 IRMC DR, SUITE 100
INDIANA, PA 15701
Orthopaedic Surgery (Sports Medicine)
120 IRMC DR, SUITE 160
INDIANA, PA 15701
Speech-Language Pathologist
120 IRMC DR
INDIANA, PA 15701
Pain Medicine (Interventional Pain Medicine)
120 IRMC DR
INDIANA, PA 15701

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 Mckirgan's NPI number?

The NPI number for Craig Mckirgan is 1225098916. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Craig Mckirgan located?

Craig Mckirgan practices at 120 Irmc Dr Suite 160, Indiana, PA 15701. The listed phone number is (724) 465-2676.

What is Craig Mckirgan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Craig Mckirgan enrolled in Medicare?

Yes. Craig Mckirgan 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 Mckirgan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Craig Mckirgan 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 Mckirgan affiliated with any hospitals?

According to CMS data, Craig Mckirgan is affiliated with Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Mckirgan was last updated on April 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.