DR. MATTHEW R CRAIG M.D., M.S.
NPI 1386857282
Orthopaedic Surgery in Willow Grove, PA

Q: What is Matthew Craig's NPI number?

The NPI number for Matthew Craig is 1386857282. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Matthew Craig's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Craig was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment

92.09/100

CMS Quality Rating

2400 MARYLAND RD, SUITE 20, WILLOW GROVE, PA 19090(215) 830-8700(215) 830-8715 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2024, Feb 15, 2022, Feb 10, 2016 (3 updates tracked since 2016).

On this page

About Dr. Matthew R Craig M.d., M.s. NPPES

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

DR. MATTHEW R CRAIG M.D., M.S. (NPI 1386857282) is an individual orthopaedic surgery provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MD434177) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2001).

NPPES Registry Identity

NPI1386857282

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MATTHEW R CRAIGCredential: M.D., M.S.

Location Address2400 MARYLAND RD, SUITE 20Willow Grove, PA 19090-1700

Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (267) 339-3558 · Fax (267) 339-3763

Phone(215) 830-8700

Fax(215) 830-8715

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2001

Enumeration DateMay 7, 2007

Last NPPES UpdateMay 10, 20243 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1386857282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in PA · MD434177✔ Licensed in NJ · 25MA10299300

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License MD434177 (PA), 25MA10299300 (NJ)

2400 MARYLAND RD, Willow Grove, PA 19090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew R Craig M.d., M.s. 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 ID7517053101

PECOS Enrollment IDI20080826000163, I20180925002834

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Craig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Associates In Health Care, Inc

10 mi

Diagnostic Radiology

4900 FRANKFORD AVE
Philadelphia, PA 19124

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Methodist Associates In Healthcare, Inc
600 clinicians in this Medicare group

NPI 1609417872 (215) 831-2063

Rothman Orthopaedics Of New Jersey, LLC

24 mi

Orthopaedic Surgery

999 ROUTE 73 N FL 34
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
398 clinicians in this Medicare group

NPI 1215978630 (800) 321-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

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.

161 services123 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

102 services70 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

90 services36 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

64 services48 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

61 services61 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.

49 services49 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.

45 services27 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

29 services29 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.

27 services21 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

25 services20 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

22 services12 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

21 services11 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

20 services15 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

19 services16 patients

Treatment of broken shaft of thigh bone with implant 27506

This treatment involves fixing a broken thigh bone (femur) using an implant. The surgeon makes an incision, aligns the broken bone, and secures it with a metal rod, screws or plates. This helps the bone heal correctly and restore function.

19 services18 patients

Treatment of broken thigh bone at far end 27511

The treatment for a broken thigh bone at the far end, near the knee, often involves surgery. The surgeon may use metal rods, screws, or plates to hold the bone in place while it heals. After surgery, physical therapy is often needed to regain strength and mobility.

17 services17 patients

Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less 97605

This procedure, known as Negative Pressure Wound Therapy, involves a special bandage and vacuum pump. The bandage covers your wound and the pump creates a vacuum, enhancing healing by removing excess fluid and promoting tissue growth. The surface area treated is 50.0 sq cm or less.

16 services12 patients

Treatment of ligament tear at ankle joint 27829

Treatment for an ankle ligament tear focuses on relieving pain and restoring mobility. This may involve rest, ice, compression, and elevation (RICE). In some cases, physical therapy exercises help strengthen the muscles. Severe tears might require surgical repair, followed by a period of rehabilitation.

11 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390142

Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County

Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19090 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

92.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.6

Promoting Interoperability

Improvement Activities

Cost

87.88

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.

ANTHONY C ANZALONE DPM

Podiatrist (Foot & Ankle Surgery)

2400 MARYLAND RD, STE 30
WILLOW GROVE, PA 19090

Montgomery County (215) 659-4400

RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C.

Prosthetic/Orthotic Supplier

2400 MARYLAND RD
WILLOW GROVE, PA 19090

Montgomery County (215) 830-8700

RICHARD GOLDBERG DO

Physical Medicine & Rehabilitation

2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090

Montgomery County (215) 830-8700

MRS. MARGERY ELLEN MAILE P.T.

Physical Therapist

2400 MARYLAND RD, SUITE 10
WILLOW GROVE, PA 19090

Montgomery County (215) 657-1115

ABINGTON ORTHOPAEDIC SPECIALISTS, PC

Orthopaedic Surgery

2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090

Montgomery County (215) 830-8700

KELLY PRESTIPINO

Specialist/Technologist (Athletic Trainer)

2400 MARYLAND RD
WILLOW GROVE, PA 19090

Montgomery County (800) 321-9999

ABINGTON ORTHOPAEDIC SPECIALISTS PC

Orthopaedic Surgery

2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090

Montgomery County (215) 830-8700

ABINGTON ORTHOPAEDIC SPECIALISTSPC

Occupational Therapist (Hand)

2400 MARYLAND RD, SUITE 10
WILLOW GROVE, PA 19090

Montgomery County (215) 657-1115

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 Matthew Craig's NPI number?

The NPI number for Matthew Craig is 1386857282. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Matthew Craig located?

Matthew Craig practices at 2400 Maryland Rd Suite 20, Willow Grove, PA 19090. The listed phone number is (215) 830-8700.

What is Matthew Craig's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Craig enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Craig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Craig reassigns Medicare benefits to 2 organizations: Methodist Associates In Health Care, Inc (Philadelphia, PA) and Rothman Orthopaedics Of New Jersey, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Craig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Craig accept?

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

According to CMS data, Matthew Craig is affiliated with Albert Einstein Medical Center and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Craig was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.