DR. JOHN WALTON JR. CRADDOCK (M.D.) – Otolaryngology Physician, NPI 1699752857

DR. JOHN WALTON JR. CRADDOCK (M.D.) is a healthcare provider. based in Houston, Texas. specializing in OTOLARYNGOLOGY, ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. K0282 (TX). The NPI Number for DR. JOHN WALTON JR. CRADDOCK (M.D.) is 1699752857

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN WALTON JR. CRADDOCK (M.D.)
NPI
1699752857
Phone
(713) 781-9660
Address
2500 TANGLEWILDE ST
Enumeration Date
29 December 2005
Last Update Date
9 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814927827
Graduation Year
1995 (31 years ago)
PAC ID
5193823870
Group Practice PAC ID
5799770202
Professional Enrollment ID
I20100622000577
Address ID
TX770941287HO18400FWYX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for DR. JOHN WALTON JR. CRADDOCK (M.D.)

  • Tanglewilde Street, Houston, Harris County, Texas, 77063, United States

    SUITE 160

    HOUSTON, TX 770632123

    Phone: (713) 781-9660

    Fax: (713) 974-3672

    Type: Mailing

  • Gessner Road, Houston, Harris County, Texas, 77042-9998, United States

    STE 310

    HOUSTON, TX 770641240

    Phone: (281) 897-0416

    Fax: (280) 890-8908

    Type: Location

  • 10740 N GESSNER RD STE 310

    HOUSTON, TX 770641240

    Phone: (281) 897-0416

    Fax: (281) 890-8908

    Type: Mailing

  • 8731 KATY FWY STE 200

    HOUSTON, TX 770241735

    Phone: (832) 678-8333

    Fax: (713) 467-0965

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $866.

Total Amount is formed as General ($866) + Research ($0) + Ownership ($0) = $866.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Acclarent, Inc ($243).

Total Amount

$866

General + Research + Ownership

Payments

21

Total payment records

General Amount

$866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2010-06-22

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
I20100622000577IOtolaryngologyTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg2,848160$0
99214Established patient office or other outpatient visit, 30-39 minutes818461$0
95004Test for allergy using allergenic extract68016$0
95117Professional service for multiple injections of allergen49172$0
95024Test for allergy using allergenic extract injected into skin48313$0
View full utilization report →

Insurance plans in this area (ZIP 77063)

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Provider's Procedures

DR. JOHN WALTON JR. CRADDOCK (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX95117Injection of incremental dosages of allergen, 2 or more injections1473106

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: 5799770202View full group profile
NameSpecialtyState
-TX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Otolaryngology, Allergy/ImmunologyTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
-TX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN WALTON JR. CRADDOCK (M.D.)?
The registry entry for DR. JOHN WALTON JR. CRADDOCK (M.D.) shows NPI 1699752857.
Is DR. JOHN WALTON JR. CRADDOCK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN WALTON JR. CRADDOCK (M.D.) as active.
How should patients interpret DR. JOHN WALTON JR. CRADDOCK (M.D.)'s specialty?
The extract shows Otolaryngology Physician for DR. JOHN WALTON JR. CRADDOCK (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN WALTON JR. CRADDOCK (M.D.)?
DR. JOHN WALTON JR. CRADDOCK (M.D.) is associated with Houston, Texas in the same public data insurers reference.
Who maintains DR. JOHN WALTON JR. CRADDOCK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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