CRAIG SCHMALZRIED, M.D.
Family Medicine Physician · ELIZABETHTON, TN
Individual Active NPI 1831167741
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 67 | 1,829 | $102,320 | $41,969 | $31,313 |
| 2023 | 83 | 658 | $106,901 | $45,915 | $34,635 |
| 2022 | 72 | 550 | $93,204 | $42,266 | $32,405 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 242 | $120 | $80 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 88 | $16 | $12 |
| 36415 | Insertion of needle into vein for collection of blood sample | 78 | $9 | $9 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | $122 | $122 |
| G0444 | Annual depression screening, 5 to 15 minutes | 44 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD0000037421 | TN |
| General Practice Physician | 208D00000X | MD0000037421 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Tennessee
- NPI 1275530560
- NPI 1205377876
- NPI 1154423275
- NPI 1457693996
- NPI 1588693691
- NPI 1629432828
- NPI 1255634564
- NPI 1477525699
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.