DR. CRAIG MCMULLEN M.D.
NPI 1487614616
Family Medicine in Mineola, TX
About Dr. Craig Mcmullen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRAIG MCMULLEN M.D. (NPI 1487614616) is an individual family medicine provider in Mineola, Texas, licensed in Texas (L6742) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains a secondary practice location in Carthage.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Craig Mcmullen 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXChristus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXUt Health East Texas Carthage Hospital
Acute Care Hospitals · Carthage, TXThe University Of Texas Health Science Center At Tyler
Acute Care Hospitals · Tyler, TXUt Health East Texas Quitman Hospital
Critical Access Hospitals · Quitman, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mcmullen's NPI number?
The NPI number for Craig Mcmullen is 1487614616. It was assigned to this individual provider in the NPPES registry on March 23, 2006.
Where is Craig Mcmullen located?
Craig Mcmullen practices at 1220 N Pacific St, Mineola, TX 75773. The listed phone number is (903) 569-6124.
What is Craig Mcmullen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Craig Mcmullen enrolled in Medicare?
Yes. Craig Mcmullen 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 Mcmullen accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Craig Mcmullen 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 Mcmullen affiliated with any hospitals?
According to CMS data, Craig Mcmullen is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Ut Health East Texas Carthage Hospital, The University Of Texas Health Science Center At Tyler and Ut Health East Texas Quitman Hospital.
When was this NPI record last updated?
The NPPES record for Craig Mcmullen was last updated on December 13, 2022. 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.
