NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1285085076 FNP-C
Verify on CMS → Craig Philhower, FNP-C
Family Nurse Practitioner in Arlington, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family Nurse Practitioner, 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
398
Medicare Part D claims · 279 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
80%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Craig Philhower, FNP-C filed 398 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Arlington, Virginia, prescribing 80% generic.
- 398
- Part D claims, 2023
- 80%
- generic prescribing
- ≥57th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Craig Philhower, FNP-C
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1285085076), first enumerated 06/23/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 398 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
7 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1285085076 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-MID · PHOTO-ENUM
- NPI-10 1285085076
- ENUM-MID 2016
- TAX-MEGA 211K Family Nurse
- RX-LIGHT 398
- BOOK-MID 5,712 in Virginia
- PHOTO-ENUM Aaliya Ali · 2016
Craig Philhower, FNP-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
398 ≥ 57th percentile 57% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Craig Philhower, FNP-C?
Quality data not reportedPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
398 67% vs specialty avg
Specialty distribution in Virginia
How Family Nurse Practitioner compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1285085076 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP-C |
| Gender | Male |
| NPI Issued | 06/23/2016 |
Hospital and facility affiliations
Facilities where Craig Philhower, FNP-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.
According to CMS billing records, Craig Philhower, FNP-C is affiliated with 7 Medicare-billing facilities across 7 states.
Health First Privia Medical Group
Indialantic, FL
Medstar Medical Group II LLC
Washington, DC
Privia Medical Group Gulf Coast PLLC
Houston, TX
Privia Medical Group OF Georgia LLC
Fayetteville, GA
Privia Medical Group Tennessee LLC
Nashville, TN
Privia Medical Group Washington PLLC
Walla Walla, WA
Privia Medical Group, LLC
Lanham, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Craig Philhower, FNP-C - brand share 7.0%
Family Nurse Practitioner average
7% brand-name claims vs 80% generic, on 398 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.
398
Total Claims
$10K
Total Drug Cost
279
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 452
- Total Day Supply
- 7,312
- Brand vs Generic
- 7% brand / 80% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $5K
- Antibiotic Claims
- 118
Patient Demographics
- Average Patient Age
- 67.9 years
- Avg HCC Risk Score
- 1.00
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 64, 65-74: 137, 75-84: 64, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Craig Philhower, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Paxlovid (Eua)
Paxlovid (Eua)
36 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
30 claims
- Azelastine Hcl
Azelastine Hcl
25 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
20 claims
- Amoxicillin
Amoxicillin
17 claims
- Cefdinir 14
Cefdinir
14 claims
- Fluticasone Propio… 14
Fluticasone Propionate
14 claims
- Lagevrio (Eua) 13
Lagevrio (Eua)
13 claims
| Drug | Claims |
|---|---|
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 36 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 30 |
| Azelastine Hcl | 25 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 20 |
| Amoxicillin | 17 |
| Cefdinir | 14 |
| Fluticasone Propionate | 14 |
| Lagevrio (Eua) Molnupiravir | 13 |
| Ondansetron Odt Ondansetron | 13 |
| Prednisone | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Craig Philhower, FNP-C fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Craig Philhower, FNP-C's 398 claims are below the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Philhower, both outside Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Philhower.
One of 5,712 Family Nurse Practitioner providers enrolled in Virginia, 5 are shown here.
Dr. Elizabeth Abando
RN, IBCLC, FNP-BC
Fairfax, VA
Dr. Gilbert Abare
FNP
Chesapeake, VA
Dr. Aaiza Abbas
NURSE PRACTITIONER
Manassas, VA
Dr. Valerie Abbott
FNP
Roanoke, VA
Dr. Nashwa Abdalla
FNP-C
Falls Church, VA
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Craig Philhower, FNP-C's specialty? ▼
Craig Philhower, FNP-C specializes in Family Nurse Practitioner and practices in Arlington, Virginia. Credentials: FNP-C.
How much does Craig Philhower, FNP-C prescribe under Medicare Part D? ▼
In 2023, Craig Philhower, FNP-C wrote 398 Medicare Part D claims totaling $10K in drug costs for 279 beneficiaries.
Where is Craig Philhower, FNP-C located? ▼
Craig Philhower, FNP-C is located at 950 N GLEBE RD STE 4000, Arlington, VA, 22203. Phone: (571) 366-8850.
What is Craig Philhower, FNP-C's NPI number? ▼
Craig Philhower, FNP-C's National Provider Identifier (NPI) is 1285085076, issued on 06/23/2016.
Does Craig Philhower, FNP-C prescribe more brand-name or generic drugs? ▼
Craig Philhower, FNP-C's prescribing is 7% brand-name and 80% generic drugs by claim count, with $4K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Craig Philhower, FNP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Craig Philhower, FNP-C's most frequently prescribed drugs include Paxlovid (Eua), Amoxicillin-Clavulanate Potass, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Craig Philhower, FNP-C accept Medicare? ▼
Craig Philhower, FNP-C appears in CMS Medicare data with 398 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Craig Philhower, FNP-C's credentials? ▼
Craig Philhower, FNP-C's NPI is 1285085076 with credentials FNP-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.
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.