NPPES file of Aug 9, 2026

Craig H. Gerstein, M.D.

Ophthalmology Physician · Chicago, IL

Craig H. Gerstein, M.D. is an ophthalmology physician with a practice address in Chicago, Illinois, and NPI 1083712681, issued on Sep 20, 2006. Check the license (Illinois 036-104297, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083712681
Name
Craig H. Gerstein
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
036-104297 IL
Self-reported in NPPES; status is on the state search
Practice location
3042 W Peterson Ave, Chicago, IL 60659
Phone
(773) 973-3223
Enumerated
Sep 20, 2006
Record last updated
Dec 28, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(773) 973-1119
Medicaid ID
036104297-1 IL
Medicare enrollment
Enrolled (PECOS I20041008000249); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3042 W Peterson Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Melvyn Gerstein, M.D.Ophthalmology Physician1780782383

Verify Craig H. Gerstein in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036-104297
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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60% more Medicare Part D claims than the average ophthalmology physician in 2024

2,427 Medicare Part D claims for 582 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 34% of claims.

  1. Craig Gerstein2,427
  2. Specialty average1,518

Most prescribed

  1. Latanoprost420 claims
  2. Ketorolac Tromethamine331 claims
  3. Ofloxacin305 claims
  4. Prednisolone Acetate275 claims
  5. Dorzolamide-Timolol252 claims
  6. Timolol Maleate139 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%95.5
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $59.65

3 payments; by number, the most common kind was food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Craig Gerstein$59.65
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Craig H. Gerstein among 898 ophthalmology physician records in Illinois

Craig H. Gerstein, M.D. is one of 898 ophthalmology physician records with a practice address in Illinois. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.

  • NPI issued2006 · 16% of these records are older, 44% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated1997 · median 1999 among the 551 with a school on file
  • Record last updated2021 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Illinois

There are 898 ophthalmology physician records in Illinois.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Melvyn Gerstein, M.D.Chicago, IL 606591780782383
  2. Tatjana Pavlovic, MDChicago, IL 606591285794362
  3. Ema AvdagicChicago, IL 606571497287148
  4. Andrea Birnbaum, MD, PHDChicago, IL 606571912171364
  5. Kelley Bohm, M.D.Chicago, IL 606571609238443
  6. Gregory Doren, M.D.Chicago, IL 606571851411847
  7. Joseph Garber, MDChicago, IL 606571306910542
  8. Brian Herst, M.D.Chicago, IL 606571801235734

Common questions

What is Craig H. Gerstein, M.D.'s NPI number?

Craig H. Gerstein, M.D.'s National Provider Identifier (NPI) is 1083712681, issued on Sep 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Craig H. Gerstein, M.D. located?

The NPPES record lists a practice address at 3042 W Peterson Ave, Chicago, IL, 60659. Phone: (773) 973-3223. Providers update this record themselves, so call before visiting.

How can I verify Craig H. Gerstein, M.D.'s license?

NPPES lists Illinois license number 036-104297, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Craig H. Gerstein, M.D. prescribe under Medicare Part D?

In 2024, Craig H. Gerstein, M.D. had 2,427 Medicare Part D claims for 582 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Craig H. Gerstein, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.