2026 NPPES data Pediatric Urology Physician NPI 1225098031 MD
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CRAIG SMITH, MD

Pediatric Urology Physician in WINFIELD, Illinois. 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
1K
Medicare Part D claims · 427 beneficiaries · Pediatric Urology Physician avg: 654
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$5.3K
53 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CRAIG SMITH, MD is a Pediatric Urology Physician ([object Object]) practicing in WINFIELD, Illinois with a Medicare Part D prescribing footprint of 1K claims across 427 beneficiaries — 8% brand-name prescribing . Industry payments of $5.3K across 53 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CRAIG SMITH, MD filed 1,267 Medicare Part D claims in 2023 across WINFIELD, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CRAIG SMITH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CRAIG SMITH, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/24/2006

NPI 1225098031

Primary specialty

Pediatric Urology Physician

Rare

348 US NPIs in this specialty

Medicare Part D claims

1,267 94% vs specialty avg

2023 prescription claims

Specialty avg: 654

Specialty distribution in Illinois

How Pediatric Urology Physician compares to other specialties among Illinois providers

Illinois providers

Pediatric Urology Physician share within Illinois

1. Pediatric Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Urology Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Urology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Urology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Urology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Urology 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 SMITH, MD is a Pediatric Urology Physician provider practicing in WINFIELD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225098031. 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 SMITH, MD appears in the CMS NPPES registry as a Pediatric Urology Physician provider holding MD credentials at 25 N WINFIELD RD, WINFIELD, IL, 60190, with a listed phone of (630) 790-1221. NPI 1225098031 was issued on 03/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH 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 1,267 prescription claims written by this provider, covering 427 Medicare beneficiaries and totaling roughly $135K in drug spend, split 8% brand-name and 92% 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.

Pediatric Urology Physician is a narrow specialty nationwide, with 348 enrolled providers across 43 states and an average of 654 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

25 N WINFIELD RD
WINFIELD, IL 60190

Provider Details

NPI 1225098031
Specialty Pediatric Urology Physician
Credentials MD
Gender Male
NPI Issued 03/24/2006

Hospital and facility affiliations

Facilities where CRAIG SMITH, MD 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.

DUPAGE MEDICAL GROUP LTD
NAPERVILLE, IL

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 SMITH, MD. Source: openpaymentsdata.cms.gov.

Total received

$5.3K

Largest payer

Axonics, 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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to CRAIG SMITH, MD. To verify CRAIG SMITH, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CRAIG SMITH, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 1,267 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.

1,267
Total Claims
$135K
Total Drug Cost
427
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,922
Total Day Supply
81,129
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$85K
Generic Drug Cost
$50K
Antibiotic Claims
252

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.36
Gender Split
14% female / 86% male
Age Distribution
<65: 16, 65-74: 183, 75-84: 172, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
345
Finasteride
204
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
116
Potassium Citrate Er
Potassium Citrate
66
Alfuzosin Hcl Er
Alfuzosin Hcl
63
Dutasteride
63
Myrbetriq
Mirabegron
54
Cephalexin
31
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
29
Allopurinol
28

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

Pediatric Urology Physician Overview

How CRAIG SMITH, MD fits within the Pediatric Urology Physician landscape nationally.

348
Pediatric Urology Physician Providers in US
43
States with Pediatric Urology Physician
654
Avg Claims per Provider

CRAIG SMITH, MD's 1,267 claims are above the specialty average of 654.

Nearby Pediatric Urology Physician Providers in Illinois

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

Compare Pediatric Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG SMITH, MD's specialty?
CRAIG SMITH, MD specializes in Pediatric Urology Physician and practices in WINFIELD, Illinois. Credentials: MD.
How much does CRAIG SMITH, MD prescribe under Medicare Part D?
In 2023, CRAIG SMITH, MD wrote 1,267 Medicare Part D claims totaling $135K in drug costs for 427 beneficiaries.
Where is CRAIG SMITH, MD located?
CRAIG SMITH, MD is located at 25 N WINFIELD RD, WINFIELD, IL, 60190. Phone: (630) 790-1221.
What is CRAIG SMITH, MD's NPI number?
CRAIG SMITH, MD's National Provider Identifier (NPI) is 1225098031, issued on 03/24/2006.
Does CRAIG SMITH, MD prescribe more brand-name or generic drugs?
CRAIG SMITH, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $85K in brand drug costs.
How many Pediatric Urology Physician providers are there in the US?
There are 348 Pediatric Urology Physician providers across 43 states in the US. The average Pediatric Urology Physician provider writes 654 Medicare Part D claims per year.
What drugs does CRAIG SMITH, MD prescribe most often?
Based on 2023 Medicare Part D data, CRAIG SMITH, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG SMITH, MD accept Medicare?
CRAIG SMITH, MD appears in CMS Medicare data with 1,267 Part D claims and 427 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG SMITH, MD's credentials?
CRAIG SMITH, MD's NPI is 1225098031 with credentials MD. 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