CRAIG G BURKHART M.D.
NPI 1962405332
Dermatology in Sylvania, OH

Q: What is Craig Burkhart's NPI number?

The NPI number for Craig Burkhart is 1962405332. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Craig Burkhart's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Burkhart was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5600 MONROE ST, STE 106B, SYLVANIA, OH 43560(419) 885-3403(419) 885-3401 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Craig G Burkhart M.d. NPPES

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

CRAIG G BURKHART M.D. (NPI 1962405332) is an individual dermatology provider in Sylvania, Ohio, licensed in Ohio (35042672) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of University Of Toledo College Of Medicine (1975).

NPPES Registry Identity

NPI1962405332

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameCRAIG G BURKHARTCredential: M.D.

Location Address5600 MONROE ST, STE 106BSylvania, OH 43560-2728

Mailing Address5600 Monroe St, Ste 106bSylvania, OH 43560-2728 · (419) 885-3403 · Fax (419) 885-3401

Phone(419) 885-3403

Fax(419) 885-3401

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1975

Enumeration DateMay 31, 2005

Last NPPES UpdateMay 20, 2011

✔ NPI 1962405332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in OH · 35042672

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedSpecialistTaxonomy 174400000X · License 35042675 (OH)

5600 MONROE ST, Sylvania, OH 43560

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Other Identifiers 3

Medicare PIN4223951OH

Medicare UPINA78714OH

Medicaid0395666OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Priority Health and more.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 G Burkhart 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 ID840380507

PECOS Enrollment IDI20071218000386

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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,666 services208 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.

701 services380 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

447 services287 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

385 services246 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 17282

This procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that measures between 1.1 to 2.0 cm. It's done to prevent the spread of cancer and improve health.

113 services62 patients

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 11302

This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.

104 services73 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.

82 services82 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

55 services27 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 17272

This procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.

46 services29 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11312

This procedure involves the careful removal of a skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth being treated is between 1.1 and 2.0 cm in size. The process is typically quick, with minimal discomfort, and aids in maintaining skin health.

31 services28 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 11307

This procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.

25 services21 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%900 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%3,530 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,870 patients5/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

100%70 patients

Tobacco Use and Help with Quitting Among Adolescents

100%285 patients5/55-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 19

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

DR. MARC BOYER DIELMAN PH.D.

Psychologist

5600 MONROE ST, SUITE 103B
SYLVANIA, OH 43560

Lucas County (419) 885-5952

CENTER FOR SOLUTIONS IN BRIEF THERAPY, INC.

Counselor (Mental Health)

5600 MONROE ST, SUITE 103B
SYLVANIA, OH 43560

Lucas County (419) 885-5952

LARRY MARTIN BLOOM O.D.

Optometrist

5600 MONROE ST
SYLVANIA, OH 43560

Lucas County (419) 882-8467

TIMOTHY J BUTLER L.P.C.C.

Counselor (Professional)

5600 MONROE ST, SUITE 103B
SYLVANIA, OH 43560

Lucas County (419) 885-5952

SANDRA J ELLIOT LPCC

Psychologist

5600 MONROE ST, STE 201
SYLVANIA, OH 43560

Lucas County (419) 885-1910

MRS. SARA A WEGRZYN LPCC

Counselor (Mental Health)

5600 MONROE ST, BLDG A - SUITE 201
SYLVANIA, OH 43560

Lucas County (419) 885-1910

MELISSA SIMON LMT(MASSAGE THERAPIS

Massage Therapist

5600 MONROE ST, SUITE A-205
SYLVANIA, OH 43560

Lucas County (419) 472-2280

CRAIG G. BURKHART, M.D., INC.

Dermatology

5600 MONROE ST, BLDG B, SUITE 106
SYLVANIA, OH 43560

Lucas County (419) 885-3403

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 Burkhart's NPI number?

The NPI number for Craig Burkhart is 1962405332. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Craig Burkhart located?

Craig Burkhart practices at 5600 Monroe St Ste 106B, Sylvania, OH 43560. The listed phone number is (419) 885-3403.

What is Craig Burkhart's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Craig Burkhart enrolled in Medicare?

Yes. Craig Burkhart 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 Burkhart accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Priority Health and UnitedHealthcare list Craig Burkhart 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 Burkhart affiliated with any hospitals?

According to CMS data, Craig Burkhart is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Craig Burkhart was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.