2026 NPPES data Pediatric Nephrology Physician NPI 1669489613 MD MPH
Verify on CMS →

CRAIG WONG, MD MPH

Pediatric Nephrology Physician in ALBUQUERQUE, New Mexico. 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
210
Medicare Part D claims · 14 beneficiaries · Pediatric Nephrology Physician avg: 97
MIPS score
85.1802/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

CRAIG WONG, MD MPH reported a CMS MIPS final score of 85.1802/100 — above the 83.1 national average — and filed 210 Medicare Part D claims in 2023.

85.1802/100
MIPS score · +2 vs avg
210
Part D claims, 2023
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 WONG, MD MPH's MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

CRAIG WONG, MD MPH 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 WONG, MD MPH?

High performer (top quartile)

NPI registry status

Active

Issued 08/02/2006

NPI 1669489613

Primary specialty

Pediatric Nephrology Physician

Niche

723 US NPIs in this specialty

Medicare Part D claims

210 116% vs specialty avg

2023 prescription claims

Specialty avg: 97

MIPS final score

85.1802/100 2.080200000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Pediatric Nephrology Physician compares to other specialties among New Mexico providers

New Mexico providers

Pediatric Nephrology Physician share within New Mexico

1. Pediatric Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nephrology Physician share within New Mexico

Medicare quality performance — MIPS

CRAIG WONG, MD MPH's 2023 MIPS final score plotted against the Pediatric Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
85.1802/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Nephrology Physician) — 85.1802/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Pediatric Nephrology Physician) — 85.1802/100 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 WONG, MD MPH appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider holding MD MPH credentials at 3RD AMBULATORY CARE CTR, ALBUQUERQUE, NM, 87131, with a listed phone of (505) 272-3887. NPI 1669489613 was issued on 08/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WONG 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 210 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $48K in drug spend. 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 85.1802/100 for the 2023 performance year (Quality 81.0056, Cost 57.0846), compared with the national average of 83.1.

Pediatric Nephrology Physician is a narrow specialty nationwide, with 723 enrolled providers across 50 states and an average of 97 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

3RD AMBULATORY CARE CTR
ALBUQUERQUE, NM 87131

Provider Details

NPI 1669489613
Specialty Pediatric Nephrology Physician
Credentials MD MPH
Gender Male
NPI Issued 08/02/2006

CMS Quality Score (MIPS)

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

85.1802
Final Score
Avg: 83.1
81.0056
Quality
57.0846
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CRAIG WONG, MD MPH 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.

UNM MEDICAL GROUP INC
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).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

210
Total Claims
$48K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
247
Total Day Supply
7,047
Generic Drug Cost
$37K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
11.2 years
Avg HCC Risk Score
5.84
Age Distribution
<65: 14, 65-74: 0, 75-84: 0, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What CRAIG WONG, MD MPH 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
Mycophenolic Acid
Mycophenolate Sodium
22
Prednisone
19
Cephalexin
18
Calcitriol
17
Tacrolimus
17
Valganciclovir Hcl
17
Amlodipine Besylate
16
Pantoprazole Sodium
16
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
11

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

Pediatric Nephrology Physician Overview

How CRAIG WONG, MD MPH fits within the Pediatric Nephrology Physician landscape nationally.

723
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider

CRAIG WONG, MD MPH's 210 claims are above the specialty average of 97.

Nearby Pediatric Nephrology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as WONG.

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

Frequently Asked Questions

What is CRAIG WONG, MD MPH's specialty?
CRAIG WONG, MD MPH specializes in Pediatric Nephrology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD MPH.
How much does CRAIG WONG, MD MPH prescribe under Medicare Part D?
In 2023, CRAIG WONG, MD MPH wrote 210 Medicare Part D claims totaling $48K in drug costs for 14 beneficiaries.
What is CRAIG WONG, MD MPH's Medicare quality score?
CRAIG WONG, MD MPH has a CMS MIPS Final Score of 85.1802/100 (Quality: 81.0056, Cost: 57.0846). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRAIG WONG, MD MPH located?
CRAIG WONG, MD MPH is located at 3RD AMBULATORY CARE CTR, ALBUQUERQUE, NM, 87131. Phone: (505) 272-3887.
What is CRAIG WONG, MD MPH's NPI number?
CRAIG WONG, MD MPH's National Provider Identifier (NPI) is 1669489613, issued on 08/02/2006.
How many Pediatric Nephrology Physician providers are there in the US?
There are 723 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
What drugs does CRAIG WONG, MD MPH prescribe most often?
Based on 2023 Medicare Part D data, CRAIG WONG, MD MPH's most frequently prescribed drugs include Mycophenolic Acid, Prednisone, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG WONG, MD MPH accept Medicare?
CRAIG WONG, MD MPH appears in CMS Medicare data with 210 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG WONG, MD MPH's credentials?
CRAIG WONG, MD MPH's NPI is 1669489613 with credentials MD MPH. 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