DR. CRAIG FORSTHOEFEL M.D.
NPI 1407387657
Orthopaedic Surgery in Bethesda, MD

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
72.68/100
CMS Quality Rating
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814(301) 896-2578 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2023, Nov 17, 2022, Mar 24, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Craig Forsthoefel M.d. NPPES

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

DR. CRAIG FORSTHOEFEL M.D. (NPI 1407387657) is an individual orthopaedic surgery provider in Bethesda, Maryland, licensed in Illinois (036-162783) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1407387657
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CRAIG FORSTHOEFELCredential: M.D.
Location Address8600 OLD GEORGETOWN RDBethesda, MD 20814-1422
Mailing Address900 Rand Rd Ste 300Des Plaines, IL 60016-2359 · (847) 324-3976
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1407387657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036-162783
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.
8600 OLD GEORGETOWN RD, Bethesda, MD 20814

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 Forsthoefel M.d. 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 ID3870863129
PECOS Enrollment IDI20230821000375
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 34

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.
528 services375 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.
493 services392 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
400 services76 patients
X-ray lower and sacral spine, 2-3 views bending views 72120
This procedure involves taking X-ray images of your lower and sacral spine in 2-3 different angles while you bend. It helps in assessing spinal flexibility and identifying any abnormalities or injuries. It's safe, quick, and usually painless.
333 services309 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.
164 services164 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
147 services145 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

72.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability81
Improvement Activities40
Cost52.96

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.

Plastic Surgery
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Nurse Practitioner (Family)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
General Acute Care Hospital
8600 OLD GEORGETOWN RD, SUBURBAN HOSPITAL
BETHESDA, MD 20814
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Emergency Medicine (Pediatric Emergency Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Internal Medicine (Critical Care Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814

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 Forsthoefel's NPI number?

The NPI number for Craig Forsthoefel is 1407387657. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Craig Forsthoefel located?

Craig Forsthoefel practices at 8600 Old Georgetown Rd, Bethesda, MD 20814. The listed phone number is (301) 896-2578.

What is Craig Forsthoefel's specialty?

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

Is Craig Forsthoefel enrolled in Medicare?

Yes. Craig Forsthoefel 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.

Is Craig Forsthoefel affiliated with any hospitals?

According to CMS data, Craig Forsthoefel is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwestern Lake Forest Hospital, Advocate Lutheran General Hospital, Northwest Community Hospital 1 and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Craig Forsthoefel was last updated on July 18, 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.