DR. CRAIG ANDRE SEHEULT M.D., M.S.
NPI 1487896783
Hospitalist in Banning, CA

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
6109 W RAMSEY ST, BANNING, CA 92220(951) 845-0313 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2026, May 24, 2018, Mar 22, 2016 (3 updates tracked since 2016).

About Dr. Craig Andre Seheult M.d., M.s. NPPES

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

DR. CRAIG ANDRE SEHEULT M.D., M.S. (NPI 1487896783) is an individual hospitalist provider in Banning, California, licensed in California (A113216) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2009).

NPPES Registry Identity

NPI1487896783
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. CRAIG ANDRE SEHEULTCredential: M.D., M.S.
Location Address6109 W RAMSEY STBanning, CA 92220
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2009
Enumeration DateApril 1, 2009
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1487896783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A113216
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A113216 (CA)
6109 W RAMSEY ST, Banning, CA 92220

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 Andre Seheult M.d., M.s. 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 ID8527292440
PECOS Enrollment IDI20131009000518
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

2

Medicare enrollment records show Craig Seheult reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92220 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$13.26 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$23.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$65.77 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.

Physician Assistant
6109 W RAMSEY ST
BANNING, CA 92220
Ophthalmology
6109 W RAMSEY ST
BANNING, CA 92220
Nurse Practitioner
6109 W RAMSEY ST
BANNING, CA 92220
Physician Assistant (Surgical)
6109 W RAMSEY ST
BANNING, CA 92220
Ophthalmology
6109 W RAMSEY ST
BANNING, CA 92220
Nurse Practitioner (Family)
6109 W RAMSEY ST
BANNING, CA 92220
Pediatrics
6109 W RAMSEY ST
BANNING, CA 92220
Clinical Medical Laboratory
6109 W RAMSEY ST
BANNING, CA 92220

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 Seheult's NPI number?

The NPI number for Craig Seheult is 1487896783. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Craig Seheult located?

Craig Seheult practices at 6109 W Ramsey St, Banning, CA 92220. The listed phone number is (951) 845-0313.

What is Craig Seheult's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Craig Seheult enrolled in Medicare?

Yes. Craig Seheult 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 Seheult's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Seheult reassigns Medicare benefits to 2 organizations: Beaver Medical Group P C (Redlands, CA) and Healthcare Partners Affiliates Medical Group (Tustin, CA). 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 Seheult's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Craig Seheult was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.