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MR. SEAN E CRAIG PA
NPI 1760490247
Physician Assistant in Norfolk, NE

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
77.55/100
CMS Quality Rating
301 N 27TH ST, SUITE 1, NORFOLK, NE 68701(402) 844-8000(402) 844-8047 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Sean E Craig Pa NPPES

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

MR. SEAN E CRAIG PA (NPI 1760490247) is an individual physician assistant in Norfolk, Nebraska, licensed in Nebraska (940) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1760490247
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SEAN E CRAIGCredential: PA
Location Address301 N 27TH ST, SUITE 1Norfolk, NE 68701-4457
Mailing Address301 N 27th St, Suite 1Norfolk, NE 68701-4457 · (402) 844-8000 · Fax (402) 844-8047
Phone(402) 844-8000
Fax(402) 844-8047
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1760490247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NE · 940
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 N 27TH ST, Norfolk, NE 68701
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Other Identifiers 1

Medicare PIN279150NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mr. Sean E Craig Pa 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 ID9931184553
PECOS Enrollment IDI20040618001287
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
888 services47 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
116 services51 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.
66 services47 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.
49 services36 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
46 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Antelope Memorial Hospital

Critical Access Hospitals · Neligh, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281326
LocationP O Box 229, 102 West 9th StNeligh, NE 68756 · Antelope County
Emergency services

Boone County Health Center

Critical Access Hospitals · Albion, NE
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number281334
LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

77.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.77
Promoting Interoperability97
Improvement Activities40
Cost50.91

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
11%132 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
74%34 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%811 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
65%63 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
62%318 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%497 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%819 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
20%318 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%188 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%819 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%819 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 318 patients
5%318 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%819 patients
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.

MICHAEL A ADAMS MD
Family Medicine
301 N 27TH ST, SUITE 11
NORFOLK, NE 68701
Madison County (402) 844-8167
DR. NICHOLAS FRANCIS BOYLE MD
Surgery
301 N 27TH ST, STE 20
NORFOLK, NE 68701
Madison County (402) 844-8325
AMY L JORGENSEN PA-C
Physician Assistant
301 N 27TH ST, STE 2
NORFOLK, NE 68701
Madison County (402) 844-8291
KAYLIE MARGARET BEACH
Speech-Language Pathologist
301 N 27TH ST
NORFOLK, NE 68701
Madison County (402) 644-7396
ALEX ANDERSON DPT
Physical Therapist
301 N 27TH ST
NORFOLK, NE 68701
Madison County (402) 644-7396
DR. DAVID P LUX MD
Family Medicine
301 N 27TH ST, STE 1
NORFOLK, NE 68701
Madison County (402) 844-8000
KAYLA MARIE ELLIS RD, LMNT
Nutritionist
301 N 27TH ST
NORFOLK, NE 68701
Madison County (402) 371-4880
TRISTAN LAYTON HARTZELL M.D.
Orthopaedic Surgery (Hand Surgery)
301 N 27TH ST, SUITE 2
NORFOLK, NE 68701
Madison County (402) 844-8291

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 Sean Craig's NPI number?

The NPI number for Sean Craig is 1760490247. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Sean Craig located?

Sean Craig practices at 301 N 27th St Suite 1, Norfolk, NE 68701. The listed phone number is (402) 844-8000.

What is Sean Craig's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Craig enrolled in Medicare?

Yes. Sean Craig 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 Sean Craig accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Sean Craig 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 Sean Craig affiliated with any hospitals?

According to CMS data, Sean Craig is affiliated with Columbus Community Hospital, Inc, Faith Regional Health Services, Antelope Memorial Hospital and Boone County Health Center.

When was this NPI record last updated?

The NPPES record for Sean Craig was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.