NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1265581185 PA-C
Verify on CMS → Craig Gilcrease, PA-C
Surgical Physician Assistant in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,119 in Surgical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
69
Medicare Part D claims · 50 beneficiaries · Surgical Physician Assistant avg: 316
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$262.32
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Craig Gilcrease, PA-C reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 69 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 69
- Part D claims, 2023
- $262.32
- industry payments (Sunshine Act)
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 Gilcrease, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Craig Gilcrease, PA-C sits
This provider among surgical physician assistant peers
Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Craig Gilcrease, PA-C writes more Part D claims than 29% of them and scores higher on MIPS quality than 87% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Craig Gilcrease, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Craig Gilcrease, PA-C?
High performer (top quartile)Primary specialty
Surgical Physician Assistant
Medicare Part D claims
69 78% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in New Mexico
How Surgical Physician Assistant compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Craig Gilcrease, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Physician Assistant) - 97.6/100 vs national avg 83.1
How MIPS and board certification work
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 Gilcrease, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 502 ELM ST NE, Albuquerque, NM, 87102, with a listed phone of (505) 841-1000. NPI 1265581185 was issued on 01/09/2007.
Medicare Part D records for calendar year 2023 show 69 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $237 in drug spend, with an opioid prescribing rate of 68.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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
Provider Details
| NPI | 1265581185 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 01/09/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Craig Gilcrease, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Southwest Medical Associates, LLC
Albuquerque, NM
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Gilcrease, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$262
Largest payer
ABBVIE INC.
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
69
Total Claims
$237
Total Drug Cost
50
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 69
- Total Day Supply
- 411
- Generic Drug Cost
- $236
- Opioid Claims
- 47 (68.1% rate)
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 48% female / 52% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 35 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Craig Gilcrease, PA-C fits within the Surgical Physician Assistant landscape nationally.
16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider
Craig Gilcrease, PA-C's 69 claims are below the specialty average of 316.
Nearby Surgical Physician Assistant Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Gilcrease.
Dr. Cristina Allcorn
PA-C
Albuquerque, NM
Dr. Lauren Atkinson
PA-C
Rio Rancho, NM
Dr. Walter Barney
SURGICAL ASSISTANT
Santa Fe, NM
Dr. Christopher Bettis
PA-C
Albuquerque, NM
Dr. Beverly Bierbach
PA-C
Albuquerque, NM
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore New Mexico
Frequently Asked Questions
What is Craig Gilcrease, PA-C's specialty? ▼
Craig Gilcrease, PA-C specializes in Surgical Physician Assistant and practices in Albuquerque, New Mexico. Credentials: PA-C.
How much does Craig Gilcrease, PA-C prescribe under Medicare Part D? ▼
In 2023, Craig Gilcrease, PA-C wrote 69 Medicare Part D claims totaling $237 in drug costs for 50 beneficiaries.
What is Craig Gilcrease, PA-C's Medicare quality score? ▼
Craig Gilcrease, PA-C has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Craig Gilcrease, PA-C located? ▼
Craig Gilcrease, PA-C is located at 502 ELM ST NE, Albuquerque, NM, 87102. Phone: (505) 841-1000.
What is Craig Gilcrease, PA-C's NPI number? ▼
Craig Gilcrease, PA-C's National Provider Identifier (NPI) is 1265581185, issued on 01/09/2007.
Does Craig Gilcrease, PA-C prescribe opioids? ▼
Yes, Craig Gilcrease, PA-C had 47 opioid claims in 2023 with an opioid prescribing rate of 68.1%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does Craig Gilcrease, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Craig Gilcrease, PA-C's most frequently prescribed drugs include Oxycodone Hcl, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Craig Gilcrease, PA-C accept Medicare? ▼
Craig Gilcrease, PA-C appears in CMS Medicare data with 69 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Craig Gilcrease, PA-C's credentials? ▼
Craig Gilcrease, PA-C's NPI is 1265581185 with credentials PA-C. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.