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CRAIG M ELLISON MD
NPI 1932254083
Internal Medicine - Gastroenterology in Alexandria, VA

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
4660 KENMORE AVE, SUITE #305, ALEXANDRIA, VA 22304(703) 751-5763(703) 370-8704 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig M Ellison Md NPPES

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

CRAIG M ELLISON MD (NPI 1932254083) is an individual gastroenterology provider in Alexandria, Virginia, licensed in Virginia (0101234566) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of George Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1932254083
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCRAIG M ELLISONCredential: MD
Location Address4660 KENMORE AVE, SUITE #305Alexandria, VA 22304-1313
Mailing AddressPo Box 17334Baltimore, MD 21297-1334 · (703) 443-6717 · Fax (703) 443-8643
Phone(703) 751-5763
Fax(703) 370-8704
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1997
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJanuary 9, 2015
✔ NPI 1932254083 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 VA · 0101234566
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.
4660 KENMORE AVE, Alexandria, VA 22304
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINI36081VA
Medicare PIN157127ZBTPDC
OtherP00777103DC · Rr Medicare
Medicaid1932254083VA

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 Ellison Md 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 ID3870522733
PECOS Enrollment IDI20050810001086, I20160628000274
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 9

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 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.
223 services156 patients
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.
88 services71 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.
61 services58 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.
57 services57 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.
45 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22304 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
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.

DR. KENNETH MICHAEL AHDOOT MD
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
STEFANO FRANCO AGOLINI
Surgery
4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304
Alexandria City (703) 823-4066
KELLY L COOPER PT
Physical Therapist
4660 KENMORE AVE, SUITE 420
ALEXANDRIA, VA 22304
Alexandria City (703) 751-1008
NIYADELL, INC
Technician/Technologist (Optician)
4660 KENMORE AVE, SUITE 101
ALEXANDRIA, VA 22304
Alexandria City (703) 751-2800
GEORGE W TAWIL MD
Urology
4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304
Alexandria City (703) 370-2132
COMPUTED TOMOGRAPHY ASSOCIATES
Radiology (Diagnostic Radiology)
4660 KENMORE AVE, SUITE 608
ALEXANDRIA, VA 22304
Alexandria City (703) 824-3260
MS. GINA KARLIN HALDEMAN CNM
Nurse Practitioner (Obstetrics & Gynecology)
4660 KENMORE AVE, #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
DR. KRISTINA KATHLEEN HIBSHMAN M.D.
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0400

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 Ellison's NPI number?

The NPI number for Craig Ellison is 1932254083. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Craig Ellison located?

Craig Ellison practices at 4660 Kenmore Ave Suite #305, Alexandria, VA 22304. The listed phone number is (703) 751-5763.

What is Craig Ellison's specialty?

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

Is Craig Ellison enrolled in Medicare?

Yes. Craig Ellison 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 Ellison affiliated with any hospitals?

According to CMS data, Craig Ellison is affiliated with Inova Alexandria Hospital.

When was this NPI record last updated?

The NPPES record for Craig Ellison was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.