2026 NPPES data Specialist NPI 1962405332 M.D.
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CRAIG BURKHART, M.D.

Specialist in SYLVANIA, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 433 beneficiaries · Specialist avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$459.42
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CRAIG BURKHART, M.D. is a Specialist ([object Object]) practicing in SYLVANIA, Ohio with a Medicare Part D prescribing footprint of 2K claims across 433 beneficiaries — 1% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $459.42 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CRAIG BURKHART, M.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,736 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CRAIG BURKHART, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/31/2005

NPI 1962405332

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,736 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Specialist compares to other specialties among Ohio providers

Ohio providers

Specialist share within Ohio

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Ohio

Medicare quality performance — MIPS

CRAIG BURKHART, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Specialist) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CRAIG BURKHART, M.D. is a Specialist provider practicing in SYLVANIA, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1962405332. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CRAIG BURKHART, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 5600 MONROE ST, SYLVANIA, OH, 43560, with a listed phone of (419) 885-3403. NPI 1962405332 was issued on 05/31/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURKHART most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,736 prescription claims written by this provider, covering 433 Medicare beneficiaries and totaling roughly $34K in drug spend, split 1% brand-name and 99% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5600 MONROE ST
SYLVANIA, OH 43560

Provider Details

NPI 1962405332
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 05/31/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CRAIG BURKHART, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$459

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to CRAIG BURKHART, M.D.. To verify CRAIG BURKHART, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CRAIG BURKHART, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,736 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,736
Total Claims
$34K
Total Drug Cost
433
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,134
Total Day Supply
49,586
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$2K
Generic Drug Cost
$32K
Antibiotic Claims
591

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.19
Gender Split
45% female / 55% male
Age Distribution
<65: 39, 65-74: 208, 75-84: 142, 85+: 44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Triamcinolone Acetonide
555
Azithromycin
239
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
112
Cephalexin
110
Valacyclovir
Valacyclovir Hcl
102
Ketoconazole
80
Minocycline Hcl
77
Terbinafine Hcl
66
Fluconazole
54
Clindamycin Phosphate
46

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How CRAIG BURKHART, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

CRAIG BURKHART, M.D.'s 1,736 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as BURKHART.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG BURKHART, M.D.'s specialty?
CRAIG BURKHART, M.D. specializes in Specialist and practices in SYLVANIA, Ohio. Credentials: M.D..
How much does CRAIG BURKHART, M.D. prescribe under Medicare Part D?
In 2023, CRAIG BURKHART, M.D. wrote 1,736 Medicare Part D claims totaling $34K in drug costs for 433 beneficiaries.
What is CRAIG BURKHART, M.D.'s Medicare quality score?
CRAIG BURKHART, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRAIG BURKHART, M.D. located?
CRAIG BURKHART, M.D. is located at 5600 MONROE ST, SYLVANIA, OH, 43560. Phone: (419) 885-3403.
What is CRAIG BURKHART, M.D.'s NPI number?
CRAIG BURKHART, M.D.'s National Provider Identifier (NPI) is 1962405332, issued on 05/31/2005.
Does CRAIG BURKHART, M.D. prescribe more brand-name or generic drugs?
CRAIG BURKHART, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $2K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does CRAIG BURKHART, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CRAIG BURKHART, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Azithromycin, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG BURKHART, M.D. accept Medicare?
CRAIG BURKHART, M.D. appears in CMS Medicare data with 1,736 Part D claims and 433 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG BURKHART, M.D.'s credentials?
CRAIG BURKHART, M.D.'s NPI is 1962405332 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology