DR. MARK A CREAGER MD
NPI 1730139254
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
75 FRANCIS STREET PBB A3, BRIGHAM AND WOMEN'S HOSPITAL CARDIOVASCULAR DIVISION, BOSTON, MA 02115(617) 732-5267(617) 232-2749 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Creager Md NPPES

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

DR. MARK A CREAGER MD (NPI 1730139254) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (40138) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Temple University School Of Medicine (1974).

NPPES Registry Identity

NPI1730139254
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARK A CREAGERCredential: MD
Location Address75 FRANCIS STREET PBB A3, BRIGHAM AND WOMEN'S HOSPITAL CARDIOVASCULAR DIVISIONBoston, MA 02115
Mailing Address75 Francis Street Pbb A3, Brigham And Women's Hospital Cardiovascular DivisionBoston, MA 02115 · (617) 732-5267 · Fax (617) 232-2749
Fax(617) 232-2749
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1974
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 21, 2012
NPI 1730139254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MA · 40138
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.
75 FRANCIS STREET PBB A3, Boston, MA 02115

Other Identifiers 1

Medicaid2071932MA

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. Mark A Creager Md 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 ID1254502479
PECOS Enrollment IDI20150929000445
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 4

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.
118 services105 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.
51 services47 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.
24 services24 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Gifford Medical Center

Critical Access Hospitals · Randolph, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471301
Location44 South Main StreetRandolph, VT 05060 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.37
Promoting Interoperability100
Improvement Activities40

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 Mark Creager's NPI number?

The NPI number for Mark Creager is 1730139254. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Mark Creager located?

Mark Creager practices at 75 Francis Street Pbb A3 Brigham And Women's Hospital Cardiovascular Division, Boston, MA 02115. The listed phone number is (617) 732-5267.

What is Mark Creager's specialty?

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

Is Mark Creager enrolled in Medicare?

Yes. Mark Creager 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 Mark Creager accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark Creager 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 Mark Creager affiliated with any hospitals?

According to CMS data, Mark Creager is affiliated with Mary Hitchcock Memorial Hospital, Cheshire Medical Center, New London Hospital, Alice Peck Day Memorial Hospital and Gifford Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Creager was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.