2026 NPPES data Colon & Rectal Surgery Physician NPI 1164528964 M.D.
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CRAIG FOLEY, M.D.

Colon & Rectal Surgery Physician in OGDEN, Utah. 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
186
Medicare Part D claims · 94 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CRAIG FOLEY, M.D. filed 186 Medicare Part D claims in 2023 as a Colon & Rectal Surgery Physician in OGDEN, Utah, prescribing 87% generic.

186
Part D claims, 2023
87%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CRAIG FOLEY, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

186 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

CRAIG FOLEY, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CRAIG FOLEY, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/16/2006

NPI 1164528964

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

186 5% vs specialty avg

2023 prescription claims

Specialty avg: 196

Specialty distribution in Utah

How Colon & Rectal Surgery Physician compares to other specialties among Utah providers

Utah providers

Colon & Rectal Surgery Physician share within Utah

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within Utah

Specialty board-certification context

Estimated specialty board-certified rate — Colon & Rectal Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Colon & Rectal Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Colon & Rectal Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Colon & Rectal Surgery Physician) — ABMS / AOA estimate

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 FOLEY, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 1508 E SKYLINE DR STE 600, OGDEN, UT, 84405, with a listed phone of (385) 205-6803. NPI 1164528964 was issued on 09/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOLEY 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 186 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $6K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 19.4%. 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.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

1508 E SKYLINE DR STE 600
OGDEN, UT 84405

Provider Details

NPI 1164528964
Specialty Colon & Rectal Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/16/2006

Brand vs generic prescribing mix · Typical

CRAIG FOLEY, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 186 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.

186
Total Claims
$6K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
186
Total Day Supply
1,688
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$4K
Generic Drug Cost
$3K
Opioid Claims
36 (19.4% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.00
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What CRAIG FOLEY, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ibuprofen
35
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
31
Hydrocortisone
27
Ciprofloxacin Hcl
23
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
13
Procto-Med Hc
Hydrocortisone
12

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

Colon & Rectal Surgery Physician Overview

How CRAIG FOLEY, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

CRAIG FOLEY, M.D.'s 186 claims are below the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Utah

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

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG FOLEY, M.D.'s specialty?
CRAIG FOLEY, M.D. specializes in Colon & Rectal Surgery Physician and practices in OGDEN, Utah. Credentials: M.D..
How much does CRAIG FOLEY, M.D. prescribe under Medicare Part D?
In 2023, CRAIG FOLEY, M.D. wrote 186 Medicare Part D claims totaling $6K in drug costs for 94 beneficiaries.
Where is CRAIG FOLEY, M.D. located?
CRAIG FOLEY, M.D. is located at 1508 E SKYLINE DR STE 600, OGDEN, UT, 84405. Phone: (385) 205-6803.
What is CRAIG FOLEY, M.D.'s NPI number?
CRAIG FOLEY, M.D.'s National Provider Identifier (NPI) is 1164528964, issued on 09/16/2006.
Does CRAIG FOLEY, M.D. prescribe more brand-name or generic drugs?
CRAIG FOLEY, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $4K in brand drug costs.
Does CRAIG FOLEY, M.D. prescribe opioids?
Yes, CRAIG FOLEY, M.D. had 36 opioid claims in 2023 with an opioid prescribing rate of 19.4%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does CRAIG FOLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CRAIG FOLEY, M.D.'s most frequently prescribed drugs include Ibuprofen, Oxycodone-Acetaminophen, Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG FOLEY, M.D. accept Medicare?
CRAIG FOLEY, M.D. appears in CMS Medicare data with 186 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG FOLEY, M.D.'s credentials?
CRAIG FOLEY, M.D.'s NPI is 1164528964 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.
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