DR. CRAIG I GOLDSTEIN MD
NPI 1417064189
Emergency Medicine in Hartford, WI

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
1032 E SUMNER ST, HARTFORD, WI 53027(262) 673-2300 Get Directions Write a Review

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

Record update history: Mar 10, 2026, Sep 17, 2025, Sep 4, 2025 and 1 more (4 updates tracked since 2025).

About Dr. Craig I Goldstein Md NPPES

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

DR. CRAIG I GOLDSTEIN MD (NPI 1417064189) is an individual emergency medicine provider in Hartford, Wisconsin, licensed in South Dakota (17315) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Aberdeen, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417064189
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CRAIG I GOLDSTEINCredential: MD
Location Address1032 E SUMNER STHartford, WI 53027-1608
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1979
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1417064189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in SD · 17315✔ Licensed in IL · 036070557
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036070557 (IL)
1032 E SUMNER ST, Hartford, WI 53027

Secondary Practice Locations 2

Location 120 S Plum StVermillion, SD 57069-3346 · Phone (605) 677-3700
Location 2N2950 State Road 67Lake Geneva, WI 53147-2655 · Phone (262) 245-0535 · Fax (262) 245-2248

Accepted 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. Craig I Goldstein 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 ID143205195
PECOS Enrollment IDI20070612000325
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

4

Medicare enrollment records show Craig Goldstein reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
N2950 STATE ROAD 67
Lake Geneva, WI 53147
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1093768962 (Wisconsin)
  • 271 clinicians in this Medicare group
Critical Access
112 SAINT OLAF AVE S
Canby, MN 56220
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1013921733 (South Dakota), NPI 1134140825 (South Dakota)
  • 422 clinicians in this Medicare group
Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
Clinic/Center
100 E 5TH ST
Douglas, AZ 85607
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Bisbee Hospital Association
  • 128 clinicians in this Medicare group

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

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.

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.
53 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Clinical Nurse Specialist
1032 E SUMNER ST
HARTFORD, WI 53027
Physical Therapist
1032 E SUMNER ST
HARTFORD, WI 53027
Surgery
1032 E SUMNER ST
HARTFORD, WI 53027
Dietitian, Registered
1032 E SUMNER ST
HARTFORD, WI 53027
Occupational Therapist (Hand)
1032 E SUMNER ST
HARTFORD, WI 53027
Physical Therapist
1032 E SUMNER ST
HARTFORD, WI 53027
Radiology (Diagnostic Radiology)
1032 E SUMNER ST
HARTFORD, WI 53027
Preventive Medicine (Undersea and Hyperbaric Medicine)
1032 E SUMNER ST
HARTFORD, WI 53027

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 Goldstein's NPI number?

The NPI number for Craig Goldstein is 1417064189. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Craig Goldstein located?

Craig Goldstein practices at 1032 E Sumner St, Hartford, WI 53027. The listed phone number is (262) 673-2300.

What is Craig Goldstein's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Craig Goldstein enrolled in Medicare?

Yes. Craig Goldstein 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 Craig Goldstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Goldstein reassigns Medicare benefits to 4 organizations: Mercy Health System Corporation (Lake Geneva, WI), Sanford Health Network (Canby, MN), Tuba City Regional Health Care Corporation (Kykotsmovi, AZ) and Copper Queen Medical Associates Douglas (Douglas, AZ). 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 Craig Goldstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Goldstein accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas and Cigna HealthCare of Arizona, Inc and 3 other insurers list Craig Goldstein 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 Goldstein affiliated with any hospitals?

According to CMS data, Craig Goldstein is affiliated with Sanford Medical Center Aberdeen and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Goldstein was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.