DIANE CRAIG MD
NPI 1861450231
Internal Medicine in Hillsboro, OH


Quality Rating: 97.58 out of 100 score

NPI Status: Active since May 03, 2006

Contact Information

1275 N HIGH ST
HILLSBORO, OH
ZIP 45133
Phone: (937) 393-6100
Fax: (937) 393-6333

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  • Individual
  • Female
  • Internal Medicine

About DIANE CRAIG

This page provides the complete NPI Profile along with additional information for Diane Craig, an internist established in Hillsboro, Ohio with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1861450231 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 35068426C (OH). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1861450231
Provider Name
DIANE CRAIG MD
Gender
Female
Entity Type
Individual
Location Address
1275 N HIGH ST HILLSBORO, OH 45133
Location Phone
(937) 393-6100
Location Fax
(937) 393-6333
Mailing Address
4750 HEMPSTEAD STATION DR KETTERING, OH 45429
Mailing Phone
(800) 875-0136
Mailing Fax
(937) 393-6333
Is Sole Proprietor?
No
Enumeration Date
05-03-2006
Last Update Date
10-18-2007
Code Navigator

An internist like Diane Craig is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
35068426C
License State
OH
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BI0859594MEDICARE PIN (08) 
000000344442OTHER (01)BCBS
C37103MEDICARE UPIN (02) 
2103673MEDICAID (05)OH 
P00166560OTHER (01)RAIL ROAD MEDICARE

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 11 times for 11 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 11 times for 11 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.58, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 97.58 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 86.53

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861450231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 5 + 0 + 2 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1861450231.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1275 N HIGH ST
HILLSBORO, OH 45133
Radiology (Diagnostic Radiology)
1275 N HIGH ST
HILLSBORO, OH 45133
Emergency Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Emergency Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Nurse Anesthetist, Certified Registered
1275 N HIGH ST
HILLSBORO, OH 45133
Physician Assistant
1275 N HIGH ST
HILLSBORO, OH 45133
Internal Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Pathology (Anatomic Pathology & Clinical Pathology)
1275 N HIGH ST
HILLSBORO, OH 45133
Durable Medical Equipment & Medical Supplies
1275 N HIGH ST
HILLSBORO, OH 45133
Internal Medicine (Hematology & Oncology)
1275 N HIGH ST
HILLSBORO, OH 45133
Physical Therapist
1275 N HIGH ST
HILLSBORO, OH 45133
Physical Therapist
1275 N HIGH ST
HILLSBORO, OH 45133
Speech-Language Pathologist
1275 N HIGH ST
HILLSBORO, OH 45133
Specialist/Technologist (Athletic Trainer)
1275 N HIGH ST
HILLSBORO, OH 45133
Specialist/Technologist (Athletic Trainer)
1275 N HIGH ST
HILLSBORO, OH 45133
Specialist/Technologist (Athletic Trainer)
1275 N HIGH ST
HILLSBORO, OH 45133
Physician Assistant (Medical)
1275 N HIGH ST
HILLSBORO, OH 45133
Nurse Anesthetist, Certified Registered
1275 N HIGH ST
HILLSBORO, OH 45133
Family Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Nurse Practitioner (Adult Health)
1275 N HIGH ST
HILLSBORO, OH 45133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861450231, enumerated as an "individual" on May 03, 2006.

The provider is located at 1275 N HIGH ST HILLSBORO, OH 45133 and the phone number is (937) 393-6100.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.