Gerard Criner, MD
NPI 1013905157 · Pulmonary Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gerard Criner, MD is a Pulmonary Disease Physician provider in Philadelphia, PA (NPI 1013905157).
Provider details
- NPI number
- 1013905157
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD024328E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,445 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 573 | $145 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 311 | $185 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 187 | $79 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 155 | $49 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 146 | $15 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Nintedanib Esylatebrand: Ofev | 176 | 21 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 154 | 30 |
| Prednisone | 105 | 57 |
| Azithromycin | 94 | 29 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 86 | 29 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 81 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$97,219 across 58 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2016-05-12
Frequently asked questions
- What is Gerard Criner's NPI number?
- Gerard Criner's National Provider Identifier (NPI) is 1013905157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerard Criner's specialty?
- Gerard Criner is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Gerard Criner located?
- Gerard Criner's practice location on file with NPPES is 3401 N Broad St, Philadelphia, PA 19140-5103.
- What is Gerard Criner's phone number?
- The practice phone number listed in the NPPES registry for Gerard Criner is (215) 707-5864.
- Does Gerard Criner accept Medicare?
- Gerard Criner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gerard Criner's NPI active?
- Yes — Gerard Criner's NPI (1013905157) is active in the NPPES registry as of the last update on 2016-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.