MR. CRAIG K GILCREASE PA-C
NPI 1265581185
Physician Assistant - Surgical in Albuquerque, NM

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
502 ELM ST NE, ALBUQUERQUE, NM 87102(505) 841-1000(505) 843-2592 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Craig K Gilcrease Pa-c NPPES

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

MR. CRAIG K GILCREASE PA-C (NPI 1265581185) is an individual surgical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2003-0047) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265581185
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CRAIG K GILCREASECredential: PA-C
Location Address502 ELM ST NEAlbuquerque, NM 87102-2512
Mailing Address502 Elm St NeAlbuquerque, NM 87102-2512 · (505) 841-1000 · Fax (505) 843-2956
Fax(505) 843-2592
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 1, 2014
NPI 1265581185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NM · PA2003-0047
502 ELM ST NE, Albuquerque, NM 87102

Other Identifiers 5

Medicare PINNM301392NM
Medicare PINZ115717AZ
Medicare UPINQ08774
OtherP00428450AZ · Railroad Medicare
Medicaid223634AZ

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 K Gilcrease Pa-c 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 ID6608861729
PECOS Enrollment IDI20040419000268
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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
22 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Internal Medicine (Cardiovascular Disease)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Internal Medicine (Cardiovascular Disease)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner
502 ELM ST NE
ALBUQUERQUE, NM 87102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Family)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Family)
502 ELM ST NE
ALBUQUERQUE, NM 87102

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 Gilcrease's NPI number?

The NPI number for Craig Gilcrease is 1265581185. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Craig Gilcrease located?

Craig Gilcrease practices at 502 Elm St NE, Albuquerque, NM 87102. The listed phone number is (505) 841-1000.

What is Craig Gilcrease's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Craig Gilcrease enrolled in Medicare?

Yes. Craig Gilcrease 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 Gilcrease accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Craig Gilcrease 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 Gilcrease affiliated with any hospitals?

According to CMS data, Craig Gilcrease is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Gilcrease was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.