NPPES file of Aug 9, 2026

Craig Vaughan Tuohy, M.D.

Cardiovascular Disease Physician · Bellevue, WA

Craig Vaughan Tuohy, M.D. is a cardiovascular disease physician with a practice address in Bellevue, Washington, and NPI 1528405933, issued on May 24, 2013. Check the license on the Washington Medical Commission; 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
1528405933
Name
Craig Vaughan Tuohy
Credential
M.D.
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
MD191906 OR
Self-reported in NPPES; status is on the state search
Practice location
1135 116TH Ave NE, Bellevue, WA 98004
Phone
(425) 454-2656
Enumerated
May 24, 2013
Record last updated
Jan 28, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(425) 455-2620
Medicare enrollment
Enrolled (PECOS I20200818002614); 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 1135 116TH Ave NE

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

  1. Marita Acheson, M.D.Diagnostic Radiology Physician1528087582
  2. Aeisha Adnan, PAPhysician Assistant1134439540
  3. Radha Agrawal, MDPulmonary Disease Physician1881629798
  4. Sik Kim Ang, M.DHospice and Palliative Medicine (Internal Medicine) Physician1790956845
  5. Ronnier Aviles, M.D.Cardiovascular Disease Physician1972541464
  6. Shweta Baliga, MDInternal Medicine Physician1649224577

Verify Craig Vaughan Tuohy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWashington Medical CommissionCheck 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 Washington license search

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19% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024

2,494 Medicare Part D claims for 336 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.

  1. Craig Tuohy2,494
  2. Specialty average3,078

Most prescribed

  1. Atorvastatin Calcium297 claims
  2. Metoprolol Succinate288 claims
  3. Losartan Potassium180 claims
  4. Eliquis165 claims
  5. Furosemide146 claims
  6. Amlodipine Besylate141 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 practice group's MIPS final score for 2023 (Medicare payment program): 79.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score74.5
  2. Costout of 100 · 30%56.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $41.44

2 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Craig Tuohy$41.44
  2. Specialty average$3,819.56

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

Bills Medicare through one group practice

  1. Overlake Medical Clinics LLCBellevue, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Craig Vaughan Tuohy among 512 cardiovascular disease physician records in Washington

Craig Vaughan Tuohy, M.D. is one of 512 cardiovascular disease physician records with a practice address in Washington. 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 2013, is newer than 82% of them.

  • NPI issued2013 · 82% of these records are older, 15% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2013 · median 2002 among the 351 with a school on file
  • Record last updated2021 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Washington

There are 512 cardiovascular disease physician records in Washington.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Thomas Amidon, M.D.Bellevue, WA 980041699736579
  2. Ronnier Aviles, M.D.Bellevue, WA 980041972541464
  3. Robert Bersin, MD, M.P.HBellevue, WA 980041033173836
  4. Ryan Broderick, M.D.Bellevue, WA 980041528092293
  5. David Broudy, MDBellevue, WA 980041518922665
  6. Gretchen Crittenden, MDBellevue, WA 980041174559306
  7. Peter Demopulos, MDBellevue, WA 980041194780395
  8. Joseph Doucette, M.D.Bellevue, WA 980041003839028

Common questions

What is Craig Vaughan Tuohy, M.D.'s NPI number?

Craig Vaughan Tuohy, M.D.'s National Provider Identifier (NPI) is 1528405933, issued on May 24, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Craig Vaughan Tuohy, M.D. located?

The NPPES record lists a practice address at 1135 116TH Ave NE, Bellevue, WA, 98004. Phone: (425) 454-2656. Providers update this record themselves, so call before visiting.

How can I verify Craig Vaughan Tuohy, M.D.'s license?

Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Craig Vaughan Tuohy, M.D. prescribe under Medicare Part D?

In 2024, Craig Vaughan Tuohy, M.D. had 2,494 Medicare Part D claims for 336 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Craig Vaughan Tuohy, M.D.'s MIPS final score?

The 2023 MIPS final score is 79.2 of 100, reported for the practice group. 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.