CRAIG ALFRED UMSCHEID MD
NPI 1861449902
Internal Medicine in Philadelphia, PA
About Craig Alfred Umscheid Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG ALFRED UMSCHEID MD (NPI 1861449902) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD424075) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Craig Alfred Umscheid 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.
Medicare Billing Reassignments
3Medicare enrollment records show Craig Umscheid reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21239
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 2,237 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Umscheid's NPI number?
The NPI number for Craig Umscheid is 1861449902. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Craig Umscheid located?
Craig Umscheid practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.
What is Craig Umscheid's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Craig Umscheid enrolled in Medicare?
Yes. Craig Umscheid 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.
Which organizations bill Medicare for Craig Umscheid's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Umscheid reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Baltimore, MD), The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Umscheid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Craig Umscheid accept?
Health plans from Oscar Health list Craig Umscheid 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 Umscheid was last updated on April 4, 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.
# Craig Alfred Umscheid, MD · NPI 1861449902
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1861449902 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD424075 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE STREET, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD); The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** April 4, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1861449902) · Data from the CMS NPPES public registry.