DR. CRAIG RAYMOND PETERSON M.D.
NPI 1619923844
Internal Medicine - Interventional Cardiology in Fairhope, AL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
19725 SOUTH GREENO ROAD, FAIRHOPE, AL 36532(251) 990-1930(251) 990-1931 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig Raymond Peterson M.d. NPPES

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

DR. CRAIG RAYMOND PETERSON M.D. (NPI 1619923844) is an individual interventional cardiology provider in Fairhope, Alabama, licensed in Alabama (18762) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1985).

NPPES Registry Identity

NPI1619923844
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. CRAIG RAYMOND PETERSONCredential: M.D.
Location Address19725 SOUTH GREENO ROADFairhope, AL 36532-3843
Mailing Address19725 South Greeno RdFairhope, AL 36532-3843 · (251) 990-1930 · Fax (251) 990-1931
Fax(251) 990-1931
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1985
Enumeration DateMay 26, 2006
Last NPPES UpdateMay 1, 2008
NPI 1619923844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AL · 18762
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
19725 SOUTH GREENO ROAD, Fairhope, AL 36532

Other Identifiers 5

Medicaid529918300AL
Medicare UPINB63471AL
Medicaid000008091AL
Other000008091AL · Blue Cross Blue Shield
Medicare PIN000008091AL

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 Raymond Peterson 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 ID3072537901
PECOS Enrollment IDI20101111000817
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 24

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.
981 services600 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.
667 services655 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
658 services646 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
657 services645 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
627 services314 patients
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose Q9969
Tc-99m is a safe radioactive substance used in medical imaging to help diagnose conditions. It's produced from non-highly enriched uranium. The full cost recovery add-on means the total cost of producing and using Tc-99m is included in your bill per study dose.
613 services307 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36532 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.43
Improvement Activities40
Cost49.7

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%178 patients
Controlling High Blood Pressure
100%1,301 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%4,056 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,040 patients
Patients screened: 100% · 1,040 patients
100%70 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,719 patients
Patients totalRate: 0% · 1,719 patients
0%1,719 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Specialist
19725 SOUTH GREENO ROAD
FAIRHOPE, AL 36532

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 Peterson's NPI number?

The NPI number for Craig Peterson is 1619923844. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Craig Peterson located?

Craig Peterson practices at 19725 South Greeno Road, Fairhope, AL 36532. The listed phone number is (251) 990-1930.

What is Craig Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Craig Peterson enrolled in Medicare?

Yes. Craig Peterson 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 Peterson accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Craig Peterson 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.

When was this NPI record last updated?

The NPPES record for Craig Peterson was last updated on May 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.