DR. ETHAN CRAIG (MD) – Otolaryngology Physician, NPI 1023503851

DR. ETHAN CRAIG (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 2023040235 (MO). The NPI Number for DR. ETHAN CRAIG (MD) is 1023503851

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN CRAIG (MD)
NPI
1023503851
Phone
(314) 362-5000
Address
660 S EUCLID AVE
Enumeration Date
25 June 2018
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142516394
Graduation Year
2018 (8 years ago)
PAC ID
6709247034
Group Practice PAC ID
7517118813
Professional Enrollment ID
I20231013002006
Address ID
MO631418234SA607XXRDXX507
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

320 OTOLARYNGOLOGY in MO

Provider Addresses for DR. ETHAN CRAIG (MD)

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    OTOLARYGOLOGY BOX 8115

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5000

    Type: Mailing

  • 15945 Clayton Rd Ste 360A

    Ballwin, MO 630112382

    Phone: (314) 251-6394

    Type: Location

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-5000

    Type: Location

  • 607 S NEW BALLAS RD STE 2300

    SAINT LOUIS, MO 631418234

    Phone: (314) 251-6394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $2,699.

Total Amount is formed as General ($2,699) + Research ($0) + Ownership ($0) = $2,699.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,265).

Total Amount

$2,699

General + Research + Ownership

Payments

25

Total payment records

General Amount

$2,699

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

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: 2023-10-13

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
I20231013002006IOtolaryngologyMOTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 7517118813View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMO
O T O L A R Y N G O L O G YMO
O T O L A R Y N G O L O G YMO
Physician AssistantMO
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YMO
Physician AssistantMO
Physician AssistantIL
O T O L A R Y N G O L O G YMO
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do payers reference DR. ETHAN CRAIG (MD)?
For DR. ETHAN CRAIG (MD), use NPI 1023503851 as the unique 10-digit identifier.
Is DR. ETHAN CRAIG (MD) still an active registrant?
DR. ETHAN CRAIG (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. ETHAN CRAIG (MD)'s focus?
For DR. ETHAN CRAIG (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ETHAN CRAIG (MD) associated with Saint Louis?
Public fields place DR. ETHAN CRAIG (MD) around Saint Louis, Missouri. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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