JONATHON CRAIG
NPI 1326495755
Pathology - Anatomic Pathology & Clinical Pathology in Nashville, TN

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 16, 2023, Jan 18, 2023, May 17, 2022 and 1 more (4 updates tracked since 2016).

About Jonathon Craig NPPES

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

JONATHON CRAIG (NPI 1326495755) is an individual anatomic pathology & clinical pathology provider in Nashville, Tennessee, licensed in Tennessee (64909) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1326495755
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJONATHON CRAIG
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-5200
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-5000
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016
Enumeration DateMay 16, 2016
Last NPPES UpdateFebruary 16, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1326495755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TN · 64909
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 218431 (NC)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Location 1

Location 11161 21st Ave SNashville, TN 37232-5200 · Phone (615) 322-3234

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

Jonathon Craig 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 ID3274824800
PECOS Enrollment IDI20220524001145
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
342 services199 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
228 services42 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
160 services103 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
113 services110 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
107 services106 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
90 services52 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
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.

Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

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 Jonathon Craig's NPI number?

The NPI number for Jonathon Craig is 1326495755. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Jonathon Craig located?

Jonathon Craig practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Jonathon Craig's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jonathon Craig enrolled in Medicare?

Yes. Jonathon Craig 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 Jonathon Craig accept?

Health plans from Alliant Health Plans, Inc., CareSource and Oscar Insurance Company list Jonathon Craig 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 Jonathon Craig affiliated with any hospitals?

According to CMS data, Jonathon Craig is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathon Craig was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.