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DR. R. CRAIG SAUNDERS M.D.
NPI 1518994441
Orthopaedic Surgery in Sparta, TN

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
423 SEWELL DR, SPARTA, TN 38583(931) 738-9333(931) 738-9340 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. R. Craig Saunders M.d. NPPES

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

DR. R. CRAIG SAUNDERS M.D. (NPI 1518994441) is an individual orthopaedic surgery provider in Sparta, Tennessee, licensed in Tennessee (MD49189) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Livingston Regional Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1984).

NPPES Registry Identity

NPI1518994441
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. R. CRAIG SAUNDERSCredential: M.D.
Location Address423 SEWELL DRSparta, TN 38583-1223
Mailing Address421 Sewell DrSparta, TN 38583-1223 · (931) 738-4395 · Fax (931) 738-4330
Phone(931) 738-9333
Fax(931) 738-9340
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1984
Enumeration DateJune 27, 2006
Last NPPES UpdateDecember 22, 2014
✔ NPI 1518994441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TN · MD49189✔ Licensed in TX · J2779
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
423 SEWELL DR, Sparta, TN 38583
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Other Names 1

Other Name (5)Dr. Ralph Craig Saunders M.d.

Other Identifiers 5

Medicare UPINE57504
Medicare PIN0071AYTX
Medicare UPINE57504TX
Other376710000TX · Department Of Labor
Other88581XTX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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. R. Craig Saunders 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 ID2365417813
PECOS Enrollment IDI20140225000303
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 10

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.
111 services69 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 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.
43 services33 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
25 services18 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
25 services22 patients

Hospital Affiliations CMS Care Compare

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

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440187
Location315 Oak St Box 550Livingston, TN 38570 · Overton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38583 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier31 claims31 services$20.60 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$75.22 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

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

CAMPBELL CLINIC PC
Durable Medical Equipment & Medical Supplies
423 SEWELL DR
SPARTA, TN 38583
White County (931) 526-9518

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 R. Saunders's NPI number?

The NPI number for R. Saunders is 1518994441. It was assigned to this individual provider in the NPPES registry on June 27, 2006. The provider is also known as Dr. Ralph Craig Saunders M.D..

Where is R. Saunders located?

R. Saunders practices at 423 Sewell Dr, Sparta, TN 38583. The listed phone number is (931) 738-9333.

What is R. Saunders's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is R. Saunders enrolled in Medicare?

Yes. R. Saunders 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 R. Saunders accept?

Health plans from Oscar Insurance Company list R. Saunders 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 R. Saunders affiliated with any hospitals?

According to CMS data, R. Saunders is affiliated with Livingston Regional Hospital.

When was this NPI record last updated?

The NPPES record for R. Saunders was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.