2026 NPPES data Specialist NPI 1952456816 MD
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KEVIN CRAIG, MD

Specialist in FOUNTAIN HILLS, Arizona. 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
368
Medicare Part D claims · 268 beneficiaries · Specialist avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
41.0821/100
▼ 42 pts below national avg 83.1 · [object Object]

What the federal data shows

KEVIN CRAIG, MD reported a CMS MIPS final score of 41.0821/100 — below the 83.1 national average — and filed 368 Medicare Part D claims in 2023.

41.0821/100
MIPS score · -42 vs avg
368
Part D claims, 2023
95%
generic prescribing

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.

KEVIN CRAIG, MD's MIPS score vs every scored U.S. clinician

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

41 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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

What does the federal data show about KEVIN CRAIG, MD?

Below national average

NPI registry status

Active

Issued 01/23/2007

NPI 1952456816

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

368 75% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

41.0821/100 42.0179% pts

Below average band

vs 83.1 national avg

Specialty distribution in Arizona

How Specialist compares to other specialties among Arizona providers

Arizona providers

Specialist share within Arizona

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Arizona

Medicare quality performance — MIPS

KEVIN CRAIG, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
41.0821/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 41.0821/100 vs national avg 83.1

0%100%National avg83%41.1%
MIPS final score (Specialist) — 41.0821/100 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).

KEVIN CRAIG, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 11607 N SPARROW LN, FOUNTAIN HILLS, AZ, 85268, with a listed phone of (517) 402-5811. NPI 1952456816 was issued on 01/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CRAIG 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 368 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $6K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 17.9%. 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 41.0821/100 for the 2023 performance year (Quality 30, Cost 17.8194), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

11607 N SPARROW LN
FOUNTAIN HILLS, AZ 85268

Provider Details

NPI 1952456816
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 01/23/2007

CMS Quality Score (MIPS)

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

41.0821
Final Score
Avg: 83.1
30
Quality
17.8194
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where KEVIN CRAIG, 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.

EMERGENCY PHYSICIANS SOUTHWEST PC
PAYSON, AZ
QUANTUM HEALTHCARE MEDICAL ASSOCIATES OF ARIZONA 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).

Brand vs generic prescribing mix · Generic-heavy

KEVIN CRAIG, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 368 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.

368
Total Claims
$6K
Total Drug Cost
268
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
368
Total Day Supply
3,787
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$3K
Generic Drug Cost
$3K
Opioid Claims
66 (17.9% rate)
Antibiotic Claims
98

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.70
Gender Split
65% female / 35% male
Age Distribution
<65: 24, 65-74: 95, 75-84: 105, 85+: 44

Top Prescribed Drugs (Medicare Part D)

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

What KEVIN CRAIG, MD 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
Cephalexin
32
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
32
Clonidine Hcl
29
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26
Azithromycin
24
Prednisone
20
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
16
Ondansetron Hcl
13
Dicyclomine Hcl
12
Naloxone Hcl
12

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

Specialist Overview

How KEVIN CRAIG, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KEVIN CRAIG, MD's 368 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Arizona

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN CRAIG, MD's specialty?
KEVIN CRAIG, MD specializes in Specialist and practices in FOUNTAIN HILLS, Arizona. Credentials: MD.
How much does KEVIN CRAIG, MD prescribe under Medicare Part D?
In 2023, KEVIN CRAIG, MD wrote 368 Medicare Part D claims totaling $6K in drug costs for 268 beneficiaries.
What is KEVIN CRAIG, MD's Medicare quality score?
KEVIN CRAIG, MD has a CMS MIPS Final Score of 41.0821/100 (Quality: 30, Cost: 17.8194). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN CRAIG, MD located?
KEVIN CRAIG, MD is located at 11607 N SPARROW LN, FOUNTAIN HILLS, AZ, 85268. Phone: (517) 402-5811.
What is KEVIN CRAIG, MD's NPI number?
KEVIN CRAIG, MD's National Provider Identifier (NPI) is 1952456816, issued on 01/23/2007.
Does KEVIN CRAIG, MD prescribe more brand-name or generic drugs?
KEVIN CRAIG, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $3K in brand drug costs.
Does KEVIN CRAIG, MD prescribe opioids?
Yes, KEVIN CRAIG, MD had 66 opioid claims in 2023 with an opioid prescribing rate of 17.9%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KEVIN CRAIG, MD prescribe most often?
Based on 2023 Medicare Part D data, KEVIN CRAIG, MD's most frequently prescribed drugs include Cephalexin, Oxycodone-Acetaminophen, Clonidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN CRAIG, MD accept Medicare?
KEVIN CRAIG, MD appears in CMS Medicare data with 368 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN CRAIG, MD's credentials?
KEVIN CRAIG, MD's NPI is 1952456816 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.
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