2026 NPPES data Gastroenterology Physician NPI 1861487456 M.D.
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Craig Stein, M.D.

Gastroenterology Physician in Mesa, Arizona. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 16,567 in Gastroenterology Physician, 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
4K
Medicare Part D claims · 1K beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$1.4K
74 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Craig Stein, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 3,637 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

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 Stein, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Stein, M.D. sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Craig Stein, M.D. writes more Part D claims than 98% of them and scores higher on MIPS quality than 12% — placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 0Craig Stein, M.D. — Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Craig Stein, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Craig Stein, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Craig Stein, M.D.?

Below national average

NPI registry status

Active

Issued 09/20/2005

NPI 1861487456

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

3,637 337% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Gastroenterology Physician compares to other specialties among Arizona providers

Arizona providers

Largest specialties in Arizona (% of in-state providers)

Pharmacist — 5.6%Pharmacist5.6%Behavior Technician — 5.6%Behavior Technician5.6%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4.2%Physical Therapist4.2%Speech-Language Pathologist — 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program — 3.5%Student in an Organized Health Care Education/Training Program3.5%Gastroenterology Physician — 0.3%Gastroenterology Physician0.3%
Largest specialties in Arizona (% of in-state providers)

Medicare quality performance — MIPS

Craig Stein, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Gastroenterology Physician) — 75/100 vs national avg 83.1

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 Stein, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 6020 E ARBOR AVE, Mesa, AZ, 85206, with a listed phone of (480) 985-1700. NPI 1861487456 was issued on 09/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Stein 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 3,637 prescription claims written by this provider, covering 1,052 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 13% brand-name and 87% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

6020 E ARBOR AVE
Mesa, AZ 85206

Provider Details

NPI 1861487456
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 09/20/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where Craig Stein, M.D. 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.

Arizona Digestive Health PC
Mesa, AZ

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 Stein, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

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.

Brand vs generic prescribing mix · Typical

Craig Stein, M.D. — brand share 13.0%
Gastroenterology Physician average

13% brand-name claims vs 87% generic, on 3,637 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.

3,637
Total Claims
$1.1M
Total Drug Cost
1,052
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,093
Total Day Supply
201,558
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$137K
Antibiotic Claims
89

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.37
Gender Split
64% female / 36% male
Age Distribution
<65: 45, 65-74: 476, 75-84: 444, 85+: 87

Top Prescribed Drugs (Medicare Part D)

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

What Craig Stein, 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
Pantoprazole Sodium
950
Famotidine
592
Omeprazole
470
Dicyclomine Hcl
141
Linzess
Linaclotide
88
Esomeprazole Magnesium
81
Sucralfate
76
Sulfasalazine
50
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
48
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
48

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

Gastroenterology Physician Overview

How Craig Stein, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Craig Stein, M.D.'s 3,637 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Arizona

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

Compare Gastroenterology Physician 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 Arizona medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology Physician 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.

Frequently Asked Questions

What is Craig Stein, M.D.'s specialty?
Craig Stein, M.D. specializes in Gastroenterology Physician and practices in Mesa, Arizona. Credentials: M.D..
How much does Craig Stein, M.D. prescribe under Medicare Part D?
In 2023, Craig Stein, M.D. wrote 3,637 Medicare Part D claims totaling $1.1M in drug costs for 1,052 beneficiaries.
What is Craig Stein, M.D.'s Medicare quality score?
Craig Stein, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Craig Stein, M.D. located?
Craig Stein, M.D. is located at 6020 E ARBOR AVE, Mesa, AZ, 85206. Phone: (480) 985-1700.
What is Craig Stein, M.D.'s NPI number?
Craig Stein, M.D.'s National Provider Identifier (NPI) is 1861487456, issued on 09/20/2005.
Does Craig Stein, M.D. prescribe more brand-name or generic drugs?
Craig Stein, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $1.0M in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Craig Stein, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Craig Stein, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Famotidine, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Craig Stein, M.D. accept Medicare?
Craig Stein, M.D. appears in CMS Medicare data with 3,637 Part D claims and 1,052 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Craig Stein, M.D.'s credentials?
Craig Stein, M.D.'s NPI is 1861487456 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.
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.