MR. PATRICK A CRADDOCK (MD) – Emergency Medicine Physician, NPI 1477518710
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
Provider Addresses for MR. PATRICK A CRADDOCK (MD)
1235 E Cherokee St Ste 2C
Springfield, MO 658042203
Phone: (417) 820-9857
Type: Location
100 Hospital Dr
Lebanon, MO 655369210
Phone: (417) 213-0746
Type: Location
PO BOX 26666
PRESBYTERIAN HEALTHCARE SERVICES
ALBUQUERQUE, NM 871256666
Phone: (505) 923-6770
Type: Mailing
Presbyterian Hospital, 1100, Central Avenue Southeast, Martinez Town, Albuquerque, Bernalillo County, New Mexico, 87106, United States
ALBUQUERQUE, NM 871064930
Phone: (505) 841-1125
Fax: (505) 841-1737
Type: Location
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: 2024-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050726000119 | I | Emergency Medicine | TX | TBD |
| I20130815000171 | I | Emergency Medicine | NM | TBD |
| I20210427000752 | I | Emergency Medicine | CO | TBD |
| I20230526001293 | I | Emergency Medicine | WY | TBD |
| I20241025001108 | I | Emergency Medicine | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 170 | 167 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 126 | 124 | $0 |
| 99291 | Critical care, first 30-74 minutes | 34 | 34 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | 30 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 24 | 24 | $0 |
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Emergency Medicine | TX | |
| Family Practice, Emergency Medicine | VA | |
| Emergency Medicine | MO | |
| - | MO | |
| Emergency Medicine | GA | |
| Emergency Medicine | UT | |
| - | MO | |
| Emergency Medicine | AK | |
| Emergency Medicine | MO |
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