CRAIG WILLIAM GURNEY M.D.
NPI 1457525719
Internal Medicine in Cincinnati, OH

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment
4460 RED BANK RD, CINCINNATI, OH 45227(513) 475-7370(513) 562-9098 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig William Gurney M.d. NPPES

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

CRAIG WILLIAM GURNEY M.D. (NPI 1457525719) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35-099727) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2008).

NPPES Registry Identity

NPI1457525719
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCRAIG WILLIAM GURNEYCredential: M.D.
Location Address4460 RED BANK RDCincinnati, OH 45227-2172
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5501 · Fax (513) 585-5511
Fax(513) 562-9098
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2008
Enumeration DateApril 17, 2008
Last NPPES UpdateJanuary 10, 2018
NPI 1457525719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35-099727
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4460 RED BANK RD, Cincinnati, OH 45227

Other Identifiers 3

Medicaid7100214290KY
Medicaid201083690IN
Medicaid0068914OH

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

Craig William Gurney 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 ID1850547019
PECOS Enrollment IDI20120803000711
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 5

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 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.
101 services58 patients
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.
47 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers15 claims15 services$180.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
4460 RED BANK RD
CINCINNATI, OH 45227
Nurse Practitioner
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD
CINCINNATI, OH 45227
Surgery
4460 RED BANK RD, SUITE 120
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Nurse Practitioner
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Nurse Practitioner
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD
CINCINNATI, OH 45227

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 Gurney's NPI number?

The NPI number for Craig Gurney is 1457525719. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Where is Craig Gurney located?

Craig Gurney practices at 4460 Red Bank Rd, Cincinnati, OH 45227. The listed phone number is (513) 475-7370.

What is Craig Gurney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Craig Gurney enrolled in Medicare?

Yes. Craig Gurney 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 Gurney accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Craig Gurney 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 Gurney affiliated with any hospitals?

According to CMS data, Craig Gurney is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Craig Gurney was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.