Paul Anthony Critelli, MD
Surgery Physician · Tyler, TX
Paul Anthony Critelli, MD is a surgery physician with a practice address in Tyler, Texas, and NPI 1831351790, issued on Jul 1, 2008. Check the license (Texas Q6618, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Paul Anthony Critelli
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- Q6618 TX
Self-reported in NPPES; status is on the state search - Practice location
- 11937 US Highway 271, Tyler, TX 75708
- Phone
- (903) 877-8790
- Enumerated
- Jul 1, 2008
- Record last updated
- Jun 21, 2022
- Medicare enrollment
- Enrolled (PECOS I20160831002536); accepts Medicare assignment
- Medical or professional school
- University Of Texas Medical School At Houston, 2008
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 2,192 in Texas → Look up another NPI →
Also registered at 11937 US Highway 271
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Paul Anthony Critelli in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license Q6618Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
33% more Medicare Part D claims than the average surgery physician in 2024
195 Medicare Part D claims for 81 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 94 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen68 claims
- Cephalexin31 claims
- Methocarbamol26 claims
- Acetaminophen-Codeine12 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 MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $768.83
28 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Etmc Physician Group, Inc.Flint, TX
- University OF Texas Health Science Center AT Tyler-Facilty-PhysicianTyler, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paul Anthony Critelli among 2,192 surgery physician records in Texas
Paul Anthony Critelli, MD is one of 2,192 surgery physician records with a practice address in Texas. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 54% of them.
- NPI issued2008 · 54% of these records are older, 41% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2008 · median 2004 among the 1,350 with a school on file
- Record last updated2022 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Texas
There are 2,192 surgery physician records in Texas.
All 2,192 in Texas → Every provider in Tyler → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Steven Cox, MDTyler, TX 757081831188457
- Hishaam Ismael, MDTyler, TX 757081841443645
- Benjamin Kensing, MDTyler, TX 757081265016398
- Seth Bellister, M.D.Tyler, TX 757071891043956
- Warren Abrameit, MDTyler, TX 757021225013915
- Charles BeallTyler, TX 757021457321853
- Caroline Chung, MDTyler, TX 757021548830359
- John Lahourcade, M.D.Tyler, TX 757021699060400
Common questions
What is Paul Anthony Critelli, MD's NPI number?
Paul Anthony Critelli, MD's National Provider Identifier (NPI) is 1831351790, issued on Jul 1, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Paul Anthony Critelli, MD located?
The NPPES record lists a practice address at 11937 US Highway 271, Tyler, TX, 75708. Phone: (903) 877-8790. Providers update this record themselves, so call before visiting.
How can I verify Paul Anthony Critelli, MD's license?
NPPES lists Texas license number Q6618, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paul Anthony Critelli, MD prescribe under Medicare Part D?
In 2024, Paul Anthony Critelli, MD had 195 Medicare Part D claims for 81 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Paul Anthony Critelli, MD's MIPS final score?
The 2023 MIPS final score is 97.6 of 100. 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.