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DR. CRAIG A NACHBAUER M.D.
NPI 1689636052
Surgery - Vascular Surgery in Plattsburgh, NY

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
96.45/100
CMS Quality Rating
24 HAMMOND LN, PLATTSBURGH, NY 12901(518) 314-1520(518) 314-1178 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, Nov 9, 2020, Oct 30, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Craig A Nachbauer M.d. NPPES

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

DR. CRAIG A NACHBAUER M.D. (NPI 1689636052) is an individual vascular surgery provider in Plattsburgh, New York, licensed in New York (240212-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1976).

NPPES Registry Identity

NPI1689636052
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. CRAIG A NACHBAUERCredential: M.D.
Location Address24 HAMMOND LNPlattsburgh, NY 12901-2076
Mailing Address1 Jerry DrPlattsburgh, NY 12901-1421 · (518) 314-1520 · Fax (518) 314-1178
Phone(518) 314-1520
Fax(518) 314-1178
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1976
Enumeration DateApril 3, 2006
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1689636052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NY · 240212-1
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
24 HAMMOND LN, Plattsburgh, NY 12901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 A Nachbauer 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 ID648375451
PECOS Enrollment IDI20070423000369, I20120927000826
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 7

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.
116 services93 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
53 services50 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
41 services35 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.
30 services30 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
29 services28 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
27 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

96.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities40

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.

AFTERHOURS IMAGING, LLC
Radiology (Diagnostic Radiology)
24 HAMMOND LN
PLATTSBURGH, NY 12901
Clinton County (518) 593-7466
AFTERHOURS IMAGING, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
24 HAMMOND LN
PLATTSBURGH, NY 12901
Clinton County (518) 593-7466
DR. THEODORE SHUSTER PABST III M.D.
Surgery (Vascular Surgery)
24 HAMMOND LN
PLATTSBURGH, NY 12901
Clinton County (518) 562-7557

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 Nachbauer's NPI number?

The NPI number for Craig Nachbauer is 1689636052. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Craig Nachbauer located?

Craig Nachbauer practices at 24 Hammond Ln, Plattsburgh, NY 12901. The listed phone number is (518) 314-1520.

What is Craig Nachbauer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Craig Nachbauer enrolled in Medicare?

Yes. Craig Nachbauer 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 Nachbauer accept?

Health plans from Anthem Blue Cross and Blue Shield list Craig Nachbauer 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 Nachbauer was last updated on November 18, 2025. 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.