CRAIG DANIEL DESTREE – Internal Medicine Physician, NPI 1154732063

CRAIG DANIEL DESTREE is a healthcare provider. based in La crosse, Wisconsin. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold a License No. 64357 (WI). The NPI Number for CRAIG DANIEL DESTREE is 1154732063

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG DANIEL DESTREE
NPI
1154732063
Phone
(608) 782-7300
Address
1910 SOUTH AVE
Enumeration Date
13 May 2014
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6087424131
Graduation Year
2014 (12 years ago)
PAC ID
2062722895
Group Practice PAC ID
5799684007
Professional Enrollment ID
I20151106002246
Address ID
WI539019240PO2817XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

1,086 HOSPITALIST in WI

Provider Addresses for CRAIG DANIEL DESTREE

  • 1910 SOUTH AVE

    LA CROSSE, WI 546015467

    Phone: (608) 782-7300

    Type: Mailing

  • 1910 South Ave

    LA Crosse, WI 546015467

    Phone: (608) 782-7300

    Type: Location

  • 3 NEENAH CTR

    NEENAH, WI 549563070

    Phone: (920) 830-5900

    Fax: (920) 830-5910

    Type: Mailing

  • 1818 N MEADE ST

    APPLETON, WI 549113454

    Phone: (920) 735-7645

    Fax: (920) 735-7618

    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: 2015-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20151106002246IHospitalistWI2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9964$0
99239Hospital discharge day management, more than 30 minutes8881$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8033$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7547$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 5799684007View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
Physical Medicine And RehabilitationWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency Medicine, Addiction MedicineWI
Physician AssistantWI
Emergency MedicineNY

Reviews

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Frequently asked questions

What is CRAIG DANIEL DESTREE's NPI number?
CRAIG DANIEL DESTREE's NPI is 1154732063 — the number used across U.S. healthcare to identify this provider.
Would CRAIG DANIEL DESTREE appear as active to a payer?
You can treat CRAIG DANIEL DESTREE as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CRAIG DANIEL DESTREE?
At a glance, CRAIG DANIEL DESTREE is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is CRAIG DANIEL DESTREE registered?
Use La Crosse, Wisconsin as the headline location for CRAIG DANIEL DESTREE here.
When was this NPI issued?
Enumeration for CRAIG DANIEL DESTREE is noted as May 13, 2014 where the registry provides it.

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