CRAIG D NEITZEL (MD) – Dermatology Physician, NPI 1275640617

CRAIG D NEITZEL (MD) is a healthcare provider. based in Urbana, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036101453 (IL). The NPI Number for CRAIG D NEITZEL (MD) is 1275640617

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG D NEITZEL (MD)
NPI
1275640617
Phone
(217) 383-6792
Address
611 W PARK ST
Enumeration Date
23 August 2006
Last Update Date
7 May 2014

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2173656200
Graduation Year
1996 (30 years ago)
PAC ID
0244365641
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20100323000762
Address ID
IL618229678CH1701XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for CRAIG D NEITZEL (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012529

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Type: Mailing

  • Carle Clinic - Curtis, 1701, West Curtis Road, Champaign, Champaign County, Illinois, 61822, United States

    DERMATOLOGY

    CHAMPAIGN, IL 61822

    Phone: (217) 365-6204

    Fax: (217) 326-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 318 Open Payments records for all available years, with a total value of $95,658.

Total Amount is formed as General ($95,658) + Research ($0) + Ownership ($0) = $95,658.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($50,590).

Total Amount

$95,658

General + Research + Ownership

Payments

318

Total payment records

General Amount

$95,658

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-23

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
I20100323000762IDermatologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,532338$0
99214Established patient office or other outpatient visit, 30-39 minutes1,327716$0
17004Destruction of precancer skin growth, 15 or more growths969515$0
17000Destruction of precancer skin growth, 1 growth561351$0
99213Established patient office or other outpatient visit, 20-29 minutes255178$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

CRAIG D NEITZEL (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL17003Destruction of 2-14 skin growths5546445

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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

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Frequently asked questions

Where can patients find CRAIG D NEITZEL (MD)'s NPI?
You can confirm CRAIG D NEITZEL (MD) with NPI 1275640617; it appears in the national provider directory.
Is CRAIG D NEITZEL (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize CRAIG D NEITZEL (MD)'s specialty in plain language?
Clinically, the directory lists CRAIG D NEITZEL (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for CRAIG D NEITZEL (MD)?
The page summarizes Urbana, Illinois for CRAIG D NEITZEL (MD); expand the address list for detail.
Is CRAIG D NEITZEL (MD) a real provider?
This page reflects official NPPES data for NPI 1275640617. Always confirm identity and privileges with the practice and licensing boards.

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