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

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: August 02, 2026.

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

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
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

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

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.

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

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
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

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.

Podiatrist (Foot & Ankle Surgery)
2400 MARYLAND RD, STE 30
WILLOW GROVE, PA 19090
Prosthetic/Orthotic Supplier
2400 MARYLAND RD
WILLOW GROVE, PA 19090
Physical Medicine & Rehabilitation
2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090
Physical Therapist
2400 MARYLAND RD, SUITE 10
WILLOW GROVE, PA 19090
Orthopaedic Surgery
2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090
Specialist/Technologist (Athletic Trainer)
2400 MARYLAND RD
WILLOW GROVE, PA 19090
Orthopaedic Surgery
2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090
Occupational Therapist (Hand)
2400 MARYLAND RD, SUITE 10
WILLOW GROVE, PA 19090

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.

What insurance does Matthew Craig accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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.