DR. CRAIG A SUKIN M.D.
NPI 1689664096
Internal Medicine - Interventional Cardiology in Cincinnati, OH

Q: What is Craig Sukin's NPI number?

The NPI number for Craig Sukin is 1689664096. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Q: What is Craig Sukin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Craig Sukin was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 26, 2005PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

10506A MONTGOMERY RD, STE 301, CINCINNATI, OH 45242(513) 246-2400 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Craig A Sukin M.d. NPPES

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

DR. CRAIG A SUKIN M.D. (NPI 1689664096) is an individual interventional cardiology provider in Cincinnati, Ohio, licensed in Ohio (35-072410) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Duke University School Of Medicine (1988).

NPPES Registry Identity

NPI1689664096

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. CRAIG A SUKINCredential: M.D.

Location Address10506A MONTGOMERY RD, STE 301Cincinnati, OH 45242-4400

Mailing Address10506a Montgomery Rd, Ste 301Cincinnati, OH 45242-4400 · (513) 246-2400

Phone(513) 246-2400

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1988

Enumeration DateOctober 26, 2005

Last NPPES UpdateAugust 1, 2024

NPPES CertifiedAugust 1, 2024

✔ NPI 1689664096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in OH · 35-072410

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.

Also ListedSpecialistTaxonomy 174400000X · License 35-072410 (OH)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35-072410 (OH)

10506A MONTGOMERY RD, Cincinnati, OH 45242

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Other Identifiers 2

Medicaid2095763OH

OtherP00200547OH · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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 Sukin 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 ID5193623718

PECOS Enrollment IDI20040716000888

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 17

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.

443 services284 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.

234 services226 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.

229 services225 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

112 services110 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.

93 services92 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.

93 services92 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.

68 services68 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

67 services67 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.

57 services57 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.

54 services34 patients

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.

44 services39 patients

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.

42 services38 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.

38 services38 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

22 services18 patients

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

21 services21 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

18 services18 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360056

Location3000 Mack RoadFairfield, OH 45014 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361332

Location1275 North High StreetHillsboro, OH 45133 · Highland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

90.38/100

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

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

58%259 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%261 patients1/55-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 20

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

KAREN NELTNER MMSC

Genetic Counselor, MS

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-5925

JOHN M MASHNY MD

Internal Medicine (Cardiovascular Disease)

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

MELISSA LOUIS JAUN PA-C

Physician Assistant

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

SHIRIN BIGDELIAZARI

Pharmacist

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (859) 285-7221

ALEXANDER NIEHAUS PHARMD

Pharmacist

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-7016

DR. SAULIUS K GIRNIUS

Internal Medicine (Hematology & Oncology)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 853-1300

MRS. LEAH KAY ABATE MS, CGC

Genetic Counselor, MS

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-5929

JOSEPH DARBY KIRKPATRICK BENNETT PHARMD

Pharmacist

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-7016

DEANA M ROPER ACNP

Nurse Practitioner (Acute Care)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-2342

DR. OMAR H JAWAID MD

Internal Medicine (Cardiovascular Disease)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-2343

PAIGE ANN HEIMANN DE BUYS MD

Internal Medicine (Rheumatology)

10506A MONTGOMERY RD, SUITE 203
MONTGOMERY, OH 45242

Hamilton County (513) 246-7016

ELIAS FARES MD

Internal Medicine (Infectious Disease)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 624-0999

PATRICK SHEA M.D.

Internal Medicine (Cardiovascular Disease)

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

JULIE PAVACH NP

Nurse Practitioner (Acute Care)

10506A MONTGOMERY RD, STE 301
MONTGOMERY, OH 45242

Hamilton County (513) 246-2400

NATALIA PAEZ ARANGO

Surgery (Surgical Oncology)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 853-1300

JOSEPH RAYMOND ZENISEK M.D.

Internal Medicine (Interventional Cardiology)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-2400

MS. ERICA MANN PA

Physician Assistant

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 853-1300

DR. WILLIAM ALBERT MARTIN M.D.

Internal Medicine (Interventional Cardiology)

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

DR. BROOKS B GERLINGER I M.D.

Internal Medicine (Cardiovascular Disease)

10506A MONTGOMERY RD, SUITE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

ASIMUL ANSARI MD

Internal Medicine (Cardiovascular Disease)

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

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 Sukin's NPI number?

The NPI number for Craig Sukin is 1689664096. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Craig Sukin located?

Craig Sukin practices at 10506A Montgomery Rd Ste 301, Cincinnati, OH 45242. The listed phone number is (513) 246-2400.

What is Craig Sukin's specialty?

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

Is Craig Sukin enrolled in Medicare?

Yes. Craig Sukin 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 Sukin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Craig Sukin 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 Sukin affiliated with any hospitals?

According to CMS data, Craig Sukin is affiliated with Mccullough-Hyde Memorial Hospital, Mercy Health - Fairfield Hospital, Good Samaritan Hospital, Bethesda North and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Craig Sukin was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.