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DR. CRAIG K REISS MD
NPI 1386680429
Internal Medicine - Cardiovascular Disease in Chesterfield, MO

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
89.23/100
CMS Quality Rating
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017(314) 434-3278(314) 590-5949 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Craig K Reiss Md NPPES

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

DR. CRAIG K REISS MD (NPI 1386680429) is an individual cardiovascular disease provider in Chesterfield, Missouri, licensed in Missouri (R6J34) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1983).

NPPES Registry Identity

NPI1386680429
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CRAIG K REISSCredential: MD
Location Address121 SAINT LUKES CENTER DR, STE 303Chesterfield, MO 63017-3509
Mailing Address121 Saint Lukes Center Dr, Ste 303Chesterfield, MO 63017-3509 · (314) 434-3278 · Fax (314) 590-5949
Phone(314) 434-3278
Fax(314) 590-5949
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1983
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 30, 2013
✔ NPI 1386680429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · R6J34
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
121 SAINT LUKES CENTER DR, Chesterfield, MO 63017
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN249010183MO
OtherP01234911MO · Medicare Rr
Medicare PINMA4623001MO
Medicaid249010183MO
Medicare PIN060017967MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 K Reiss 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 ID6204870355
PECOS Enrollment IDI20050620000304
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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,512 services959 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.
1,475 services922 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.
539 services143 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services58 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Salem Memorial District Hospital

Critical Access Hospitals · Salem, MO
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261318
LocationPO Box 774,Salem, MO 65560 · Dent County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

89.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.14
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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$35.73 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 20

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

STEPHANIE LICKERMAN APRN, ANP-BC
Nurse Practitioner (Adult Health)
121 SAINT LUKES CENTER DR, STE 303
CHESTERFIELD, MO 63017
St. Louis County (314) 434-3278
DR. JAMES L WILLIAMS II MD
Physical Medicine & Rehabilitation
121 SAINT LUKES CENTER DR, STE 500
CHESTERFIELD, MO 63017
St. Louis County (314) 390-6789
DR. JEFFREY THOMAS KREIKEMEIER M.D.
Internal Medicine (Gastroenterology)
121 SAINT LUKES CENTER DR, SUITE 406
CHESTERFIELD, MO 63017
St. Louis County (314) 529-4900
DR. SARAH ANNE LORD M.D.
Internal Medicine
121 SAINT LUKES CENTER DR, SUITE 504
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6399
DIANE HOOD MD
Internal Medicine
121 SAINT LUKES CENTER DR, STE 504
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6399
DERRICK NEUNER
Specialist/Technologist (Athletic Trainer)
121 SAINT LUKES CENTER DR
CHESTERFIELD, MO 63017
St. Louis County (314) 542-4800
MRS. ANITA DETCHEMENDY ANP
Nurse Practitioner (Gerontology)
121 SAINT LUKES CENTER DR, SUITE 506
CHESTERFIELD, MO 63017
St. Louis County (314) 576-8102
DR. DAVID A GALLI M.D.
Internal Medicine
121 SAINT LUKES CENTER DR, SUITE 506
CHESTERFIELD, MO 63017
St. Louis County (314) 576-8102

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 Reiss's NPI number?

The NPI number for Craig Reiss is 1386680429. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Craig Reiss located?

Craig Reiss practices at 121 Saint Lukes Center Dr Ste 303, Chesterfield, MO 63017. The listed phone number is (314) 434-3278.

What is Craig Reiss's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Craig Reiss enrolled in Medicare?

Yes. Craig Reiss 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 Reiss accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Craig Reiss 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 Reiss affiliated with any hospitals?

According to CMS data, Craig Reiss is affiliated with Alton Memorial Hospital, Memorial Hospital, Phelps County Regional Medical Center, St Lukes Hospital and Salem Memorial District Hospital.

When was this NPI record last updated?

The NPPES record for Craig Reiss was last updated on December 30, 2013. 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.