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CRAIG W. FLORINE M.D.
NPI 1417900937
Ophthalmology in Ashland, WI

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
89.68/100
CMS Quality Rating
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE, ASHLAND, WI 54806(715) 685-5500(715) 682-4022 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 12, 2020, Oct 9, 2020 (2 updates tracked since 2020).

About Craig W. Florine M.d. NPPES

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

CRAIG W. FLORINE M.D. (NPI 1417900937) is an individual ophthalmology provider in Ashland, Wisconsin, licensed in Wisconsin (34326) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Tamarack Health Ashland Medical Center, and is a graduate of University Of Minnesota Medical School (1988).

NPPES Registry Identity

NPI1417900937
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameCRAIG W. FLORINECredential: M.D.
Location AddressMEMORIAL MEDICAL CENTER, 1615 MAPLE LANEAshland, WI 54806
Mailing AddressMemorial Medical Center, 1615 Maple LaneAshland, WI 54806 · (715) 685-5500 · Fax (715) 682-4022
Phone(715) 685-5500
Fax(715) 682-4022
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1988
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1417900937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 34326
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
MEMORIAL MEDICAL CENTER, Ashland, WI 54806
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Other Identifiers 1

Medicaid31935800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners, Medica 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

Craig W. Florine 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 ID8527070275
PECOS Enrollment IDI20060620000050
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 13

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.
214 services129 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.
193 services184 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
184 services108 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
170 services12 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
140 services13 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
127 services126 patients

Hospital Affiliations CMS Care Compare

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

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

89.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.23
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%49 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%48 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%668 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
9%668 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%668 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MARK W. SNEED MD
Ophthalmology
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5500
SAM N. KUCHINKA M.D.
Ophthalmology
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5500
REBECCA FLEMING APNP
Nurse Practitioner
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5513
REBECCA K NELSON
Counselor (Addiction (Substance Use Disorder))
MEMORIAL MEDICAL CENTER, 1635 MAPLE LANE
ASHLAND, WI 54806
Ashland County (715) 685-5400

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 Florine's NPI number?

The NPI number for Craig Florine is 1417900937. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Craig Florine located?

Craig Florine practices at Memorial Medical Center 1615 Maple Lane, Ashland, WI 54806. The listed phone number is (715) 685-5500.

What is Craig Florine's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Craig Florine enrolled in Medicare?

Yes. Craig Florine 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 Florine accept?

Health plans from Aspirus Health Plan, HealthPartners, Medica and Security Health Plan list Craig Florine 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 Florine affiliated with any hospitals?

According to CMS data, Craig Florine is affiliated with Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Florine was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.