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CRAIG A EISENTROUT MD
NPI 1801980164
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10496 MONTGOMERY ROAD, SUITE 103, CINCINNATI, OH 45242(513) 793-2654(513) 793-2962 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Craig A Eisentrout Md NPPES

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

CRAIG A EISENTROUT MD (NPI 1801980164) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35049661) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1982).

NPPES Registry Identity

NPI1801980164
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameCRAIG A EISENTROUTCredential: MD
Location Address10496 MONTGOMERY ROAD, SUITE 103Cincinnati, OH 45242-5220
Mailing Address10496 Montgomery Road, Suite 103Cincinnati, OH 45242-5220 · (513) 793-2654 · Fax (513) 793-2962
Phone(513) 793-2654
Fax(513) 793-2962
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1982
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1801980164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 35049661
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License OH35049661 (OH)
10496 MONTGOMERY ROAD, Cincinnati, OH 45242
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Other Identifiers 8

Other0004271383Aetna
Medicare ID-Type UnspecifiedE10603483OH
Other2900610Railroad Medicare
Other4820113United Healthcare
Medicare UPINA82819
Medicaid0676924OH
Other4966103OH · Humana
Other000000009425OH · Anthem

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

Craig A Eisentrout 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 ID1456397223
PECOS Enrollment IDI20101118000302
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 11

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.
216 services191 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
147 services145 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
146 services144 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
136 services134 patients
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.
87 services65 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.
60 services60 patients

Hospital Affiliations CMS Care Compare 3

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

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

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
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers32 claims37 services$14.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers31 claims31 services$4.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers91 claims91 services$64.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers32 claims32 services$23.74 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
14 suppliers25 claims7,849 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
7 suppliers27 claims3,900 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MOHAMMAD A SHEATT MD
Internal Medicine (Pulmonary Disease)
10496 MONTGOMERY ROAD, SUITE 103
CINCINNATI, OH 45242
Hamilton County (513) 793-2654
PULMONARY CONSULTANTS INC
Internal Medicine
10496 MONTGOMERY ROAD, #103
CINCINNATI, OH 45242
Hamilton County (513) 793-2654
MICHAEL J HALVONIK MD
Internal Medicine (Pulmonary Disease)
10496 MONTGOMERY ROAD, SUITE 103
CINCINNATI, OH 45242
Hamilton County (513) 793-2654
DR. AHMAD ATTAR MD
Internal Medicine (Gastroenterology)
10496 MONTGOMERY ROAD, SUITE 208
CINCINNATI, OH 45242
Hamilton County (513) 791-8882
JOSEPH EDWARD THORPE MD
Internal Medicine (Pulmonary Disease)
10496 MONTGOMERY ROAD, SUITE #103
CINCINNATI, OH 45242
Hamilton County (513) 793-2654

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 Eisentrout's NPI number?

The NPI number for Craig Eisentrout is 1801980164. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Craig Eisentrout located?

Craig Eisentrout practices at 10496 Montgomery Road Suite 103, Cincinnati, OH 45242. The listed phone number is (513) 793-2654.

What is Craig Eisentrout's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Craig Eisentrout enrolled in Medicare?

Yes. Craig Eisentrout 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 Eisentrout accept?

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

According to CMS data, Craig Eisentrout is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Craig Eisentrout was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.