DR. CRAIG JON PETERSON M.D.
NPI 1912963307
Pathology - Anatomic Pathology & Clinical Pathology in Austin, TX

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
78.76/100
CMS Quality Rating
3445 EXECUTIVE CENTER DR, SUITE 250, AUSTIN, TX 78731(512) 579-4000(512) 439-2814 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Craig Jon Peterson M.d. NPPES

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

DR. CRAIG JON PETERSON M.D. (NPI 1912963307) is an individual anatomic pathology & clinical pathology provider in Austin, Texas, licensed in Texas (K0993) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of University Of Minnesota Medical School (1990).

NPPES Registry Identity

NPI1912963307
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. CRAIG JON PETERSONCredential: M.D.
Location Address3445 EXECUTIVE CENTER DR, SUITE 250Austin, TX 78731-1678
Mailing Address3445 Executive Center Dr, Suite 250Austin, TX 78731-1678 · (512) 579-4000 · Fax (512) 439-2814
Fax(512) 439-2814
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1990
Enumeration DateApril 25, 2006
Last NPPES UpdateApril 16, 2012
NPI 1912963307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in TX · K0993
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3445 EXECUTIVE CENTER DR, Austin, TX 78731

Other Identifiers 3

Medicare UPINF95065TX
MedicaidP080P9346TX
Medicare ID-Type Unspecified80P934TX

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 Jon Peterson 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 ID4789729948
PECOS Enrollment IDI20100226000820, I20260625003945
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 18

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
607 services353 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
428 services222 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
375 services75 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
179 services141 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
132 services86 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
116 services87 patients

Hospital Affiliations CMS Care Compare 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

78.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.01
Improvement Activities40

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.

Acupuncturist
3445 EXECUTIVE CENTER DR, SUITE 229
AUSTIN, TX 78731
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR, SUITE 250
AUSTIN, TX 78731
Acupuncturist
3445 EXECUTIVE CENTER DR, SUITE 229
AUSTIN, TX 78731
Pathology (Anatomic Pathology)
3445 EXECUTIVE CENTER DR, SUITE 250
AUSTIN, TX 78731
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR, SUITE 250
AUSTIN, TX 78731
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR, SUITE 250
AUSTIN, TX 78731
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR, SUITE 250
AUSTIN, TX 78731
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR, STE 250
AUSTIN, TX 78731

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 Peterson's NPI number?

The NPI number for Craig Peterson is 1912963307. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Craig Peterson located?

Craig Peterson practices at 3445 Executive Center Dr Suite 250, Austin, TX 78731. The listed phone number is (512) 579-4000.

What is Craig Peterson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Craig Peterson enrolled in Medicare?

Yes. Craig Peterson 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 Peterson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Craig Peterson 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 Peterson affiliated with any hospitals?

According to CMS data, Craig Peterson is affiliated with St David's Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Peterson was last updated on April 16, 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.