CRAIG B MIZES (M.D.) – Surgery Physician, NPI 1356370803

CRAIG B MIZES (M.D.) is a healthcare provider. based in Russellville, Arkansas. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. E5584 (AR). The NPI Number for CRAIG B MIZES (M.D.) is 1356370803

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG B MIZES (M.D.)
NPI
1356370803
Phone
(479) 968-2345
Address
101 SKYLINE DR
Enumeration Date
30 June 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4799682841
Graduation Year
1984 (42 years ago)
PAC ID
0648251587
Group Practice PAC ID
4981698032
Professional Enrollment ID
I20080908000560

Contacts

Secure Messaging
cmizes97076@direct.covenanthealthcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for CRAIG B MIZES (M.D.)

  • Milliard-Henry Clinic, 101, Skyline Drive, Norristown, Russellville, Pope County, Arkansas, 72801, United States

    RUSSELLVILLE, AR 728013363

    Phone: (479) 968-2345

    Fax: (479) 890-7180

    Type: Mailing

  • 6190 HOSPITAL DR

    CASS CITY, MI 487261072

    Phone: (989) 872-5582

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210120000321IGeneral SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72801)

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Provider's Procedures

CRAIG B MIZES (M.D.) performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYAR45378Diagnostic examination of large bowel using an endoscope1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981698032View full group profile
NameSpecialtyState
-AR
-AR
Nurse PractitionerAR
General SurgeryOK
Family PracticeAR
Pediatric MedicineAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

What is CRAIG B MIZES (M.D.)'s NPI number?
CRAIG B MIZES (M.D.)'s NPI is 1356370803 — the number used across U.S. healthcare to identify this provider.
Is there an active status for CRAIG B MIZES (M.D.)?
For scheduling context, CRAIG B MIZES (M.D.) is shown as active in the registry.
What expertise is attributed to CRAIG B MIZES (M.D.)?
CRAIG B MIZES (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CRAIG B MIZES (M.D.)?
Directory geography for CRAIG B MIZES (M.D.) centers on Russellville, Arkansas.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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