CRAIG M FETTERMAN DO
NPI 1902868383
Hospitalist in Kenmore, NY

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
36.48/100
CMS Quality Rating
2950 ELMWOOD AVE, KENMORE, NY 14217(716) 634-8800(716) 634-8987 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 26, 2022, Feb 14, 2019 (2 updates tracked since 2019).

About Craig M Fetterman Do NPPES

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

CRAIG M FETTERMAN DO (NPI 1902868383) is an individual hospitalist provider in Kenmore, New York, licensed in New York (230757-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1902868383
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameCRAIG M FETTERMANCredential: DO
Location Address2950 ELMWOOD AVEKenmore, NY 14217-1304
Mailing Address40 Main StHamburg, NY 14075-4948 · (716) 649-0887 · Fax (716) 646-4611
Fax(716) 634-8987
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
✔ NPI 1902868383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 230757-1
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 230757 (NY)
2950 ELMWOOD AVE, Kenmore, NY 14217

Other Identifiers 5

Other0412489NY · Independent Health
Other000527760001NY · Bc/bs
Other0026827302NY · Univera
Medicaid02533062NY
Other041006000116NY · Fidelis

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 M Fetterman Do 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 ID3577535996
PECOS Enrollment IDI20040806000947
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
167 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
98 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services84 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services62 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

36.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality43.33
Improvement Activities0
Cost36.15

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers27 claims27 services$13.24 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
2 suppliers29 claims29 services$62.80 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 20

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

Physician Assistant (Surgical)
2950 ELMWOOD AVE
KENMORE, NY 14217
Physician Assistant
2950 ELMWOOD AVE
KENMORE, NY 14217
Nurse Anesthetist, Certified Registered
2950 ELMWOOD AVE
KENMORE, NY 14217
Radiology (Vascular & Interventional Radiology)
2950 ELMWOOD AVE
BUFFALO, NY 14217
Pharmacist
2950 ELMWOOD AVE
BUFFALO, NY 14217
Internal Medicine (Pulmonary Disease)
2950 ELMWOOD AVE
KENMORE, NY 14217
Pharmacist
2950 ELMWOOD AVE
KENMORE, NY 14217
General Acute Care Hospital
2950 ELMWOOD AVE
KENMORE, NY 14217

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 Fetterman's NPI number?

The NPI number for Craig Fetterman is 1902868383. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Craig Fetterman located?

Craig Fetterman practices at 2950 Elmwood Ave, Kenmore, NY 14217. The listed phone number is (716) 634-8800.

What is Craig Fetterman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Craig Fetterman enrolled in Medicare?

Yes. Craig Fetterman 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.

Is Craig Fetterman affiliated with any hospitals?

According to CMS data, Craig Fetterman is affiliated with Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Craig Fetterman was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.