DR. CRAIG VAUGHAN TUOHY M.D.
NPI 1528405933
Internal Medicine - Cardiovascular Disease in Bellevue, WA

Q: What is Craig Tuohy's NPI number?

The NPI number for Craig Tuohy is 1528405933. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Q: What is Craig Tuohy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Tuohy was last updated on January 28, 2021. 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.

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment

79.16/100

CMS Quality Rating

1135 116TH AVE NE, SUITE 600, BELLEVUE, WA 98004(425) 454-2656(425) 455-2620 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 28, 2021, Jun 3, 2019 (2 updates tracked since 2019).

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About Dr. Craig Vaughan Tuohy M.d. NPPES

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

DR. CRAIG VAUGHAN TUOHY M.D. (NPI 1528405933) is an individual cardiovascular disease provider in Bellevue, Washington, licensed in Oregon (MD191906) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1528405933

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. CRAIG VAUGHAN TUOHYCredential: M.D.

Location Address1135 116TH AVE NE, SUITE 600Bellevue, WA 98004

Mailing AddressMs 315010, Po Box 3947Seattle, WA 98124-3947 · (425) 688-5670 · Fax (425) 635-6388

Phone(425) 454-2656

Fax(425) 455-2620

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 24, 2013

Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2021

✔ NPI 1528405933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OR · MD191906

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD191906 (OR)

1135 116TH AVE NE, Bellevue, WA 98004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Vaughan Tuohy 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 ID941597033

PECOS Enrollment IDI20200818002614

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 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

480 services383 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

276 services263 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

203 services170 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.

151 services126 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

132 services84 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.

115 services59 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

87 services80 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

71 services71 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.

55 services53 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

45 services43 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

43 services41 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

43 services41 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

42 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

38 services38 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

36 services36 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

36 services36 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

36 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

27 services27 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

23 services22 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

19 services18 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

15 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500051

Location1035-116th Ave NEBellevue, WA 98004 · King County

Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500152

Location751 NE Blakely DrIssaquah, WA 98029 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

79.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.53

Promoting Interoperability

100

Improvement Activities

Cost

56.02

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.

JOSEPH W DOUCETTE M.D.

Internal Medicine (Cardiovascular Disease)

1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004

King County (425) 454-2656

WASHINGTON IMAGING SERVICES LLC

Specialist

1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004

King County (425) 688-0100

ROANNE R E SELINGER MD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

OVERLAKE BREAST IMAGING LLC

Clinic/Center (Radiology)

1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004

King County (425) 467-3754

DAVID C MORTON M.D.

Internal Medicine

1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004

King County (425) 289-3100

SHIE-PON TZUNG MD PHD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

PROLIANCE SURGEONS INC., P.S.

Orthopaedic Surgery

1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004

King County (425) 455-3600

OVERLAKE MEDICAL TOWER PHARMACY

Pharmacy (Community/Retail Pharmacy)

1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004

King County (425) 688-5958

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 Tuohy's NPI number?

The NPI number for Craig Tuohy is 1528405933. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Craig Tuohy located?

Craig Tuohy practices at 1135 116th Ave NE Suite 600, Bellevue, WA 98004. The listed phone number is (425) 454-2656.

What is Craig Tuohy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Craig Tuohy enrolled in Medicare?

Yes. Craig Tuohy 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 Tuohy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Craig Tuohy 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 Tuohy affiliated with any hospitals?

According to CMS data, Craig Tuohy is affiliated with Overlake Hospital Medical Center, Evergreenhealth Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Craig Tuohy was last updated on January 28, 2021. 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.