CRAIG E MUNGER M.D.
NPI 1922005883
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Zephyrhills, FL

Active since July 06, 2005PECOS EnrolledAccepts Medicare Assignment
6329 GALL BLVD, ZEPHYRHILLS, FL 33542(813) 788-7616(813) 783-2856 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2021, May 18, 2020, Dec 5, 2017 (3 updates tracked since 2017).

About Craig E Munger M.d. NPPES

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

CRAIG E MUNGER M.D. (NPI 1922005883) is an individual ophthalmic plastic and reconstructive surgery provider in Zephyrhills, Florida, licensed in Florida (ME71209) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Brandon.

NPPES Registry Identity

NPI1922005883
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameCRAIG E MUNGERCredential: M.D.
Location Address6329 GALL BLVDZephyrhills, FL 33542-2515
Mailing Address6329 Gall BlvdZephyrhills, FL 33542-2515 · (813) 788-7616 · Fax (813) 783-2856
Fax(813) 783-2856
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1991
Enumeration DateJuly 6, 2005
Last NPPES UpdateJune 3, 20213 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
NPI 1922005883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in FL · ME71209
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME0071209 (FL)
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License ME71209 (FL)
6329 GALL BLVD, Zephyrhills, FL 33542

Secondary Practice Location 1

Location 1403 Vonderburg DrBrandon, FL 33511-5982 · Phone (813) 681-1122 · Fax (813) 684-4924

Other Identifiers 6

Medicaid250497900FL
Other31542FL · Bcbs Florida
Other5127315FL · Aetna
Other0498746NY · Ghi
Other0805199FL · United Healthcare
Other2074404FL · Aetna

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

Craig E Munger 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 ID5991879603
PECOS Enrollment IDI20100208000541
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 30

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.

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
413 services135 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
326 services283 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
310 services294 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
244 services224 patients
Extensive repair of turning-outward eyelid defect 67917
This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.
212 services120 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
200 services166 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
32%138 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Optometrist
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology (Retina Specialist)
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542

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 Munger's NPI number?

The NPI number for Craig Munger is 1922005883. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Craig Munger located?

Craig Munger practices at 6329 Gall Blvd, Zephyrhills, FL 33542. The listed phone number is (813) 788-7616.

What is Craig Munger's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Craig Munger enrolled in Medicare?

Yes. Craig Munger 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 Munger accept?

Health plans from AvMed, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Craig Munger 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 Munger affiliated with any hospitals?

According to CMS data, Craig Munger is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Craig Munger was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.