DR. CRAIG M STEIN M.D.
NPI 1861487456
Internal Medicine - Gastroenterology in Mesa, AZ

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6020 E ARBOR AVE, SUITE 101, MESA, AZ 85206(480) 985-1700(480) 396-3659 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig M Stein M.d. NPPES

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

DR. CRAIG M STEIN M.D. (NPI 1861487456) is an individual gastroenterology provider in Mesa, Arizona, licensed in Arizona (23866) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1989).

NPPES Registry Identity

NPI1861487456
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CRAIG M STEINCredential: M.D.
Location Address6020 E ARBOR AVE, SUITE 101Mesa, AZ 85206-6102
Mailing Address3020 E Camelback Rd, Suite 301Phoenix, AZ 85014-5095 · (602) 264-9100 · Fax (602) 264-9101
Fax(480) 396-3659
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1989
Enumeration DateSeptember 20, 2005
Last NPPES UpdateFebruary 17, 2017
NPI 1861487456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AZ · 23866
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6020 E ARBOR AVE, Mesa, AZ 85206

Other Identifiers 3

Medicare ID-Type UnspecifiedWCKKF04AZ
Medicare PIN73452AZ
Medicare UPINF65979AZ

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. Craig M Stein M.d. 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 ID1658261649
PECOS Enrollment IDI20080407000031
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 19

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.
915 services655 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
453 services448 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
411 services411 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
375 services368 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
129 services128 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
123 services119 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims4,111 services$0.30 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 7

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

Clinic/Center (Ambulatory Surgical)
6020 E ARBOR AVE, SUITE 105
MESA, AZ 85206
Internal Medicine (Gastroenterology)
6020 E ARBOR AVE, SUITE 101
MESA, AZ 85206
Nurse Practitioner (Family)
6020 E ARBOR AVE, SUITE 101
MESA, AZ 85206
Nurse Practitioner (Adult Health)
6020 E ARBOR AVE, #101
MESA, AZ 85206
Internal Medicine (Gastroenterology)
6020 E ARBOR AVE, #101
MESA, AZ 85206
Internal Medicine (Gastroenterology)
6020 E ARBOR AVE, #101
MESA, AZ 85206
Nurse Anesthetist, Certified Registered
6020 E ARBOR AVE, SUITE 101
MESA, AZ 85206

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 Stein's NPI number?

The NPI number for Craig Stein is 1861487456. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Craig Stein located?

Craig Stein practices at 6020 E Arbor Ave Suite 101, Mesa, AZ 85206. The listed phone number is (480) 985-1700.

What is Craig Stein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Craig Stein enrolled in Medicare?

Yes. Craig Stein 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 Stein accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Craig Stein 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 Stein was last updated on February 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.