Rachel Criner, MD
NPI 1285081851 · Pulmonary Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Criner, MD is a Pulmonary Disease Physician provider in Philadelphia, PA (NPI 1285081851).
Provider details
- NPI number
- 1285081851
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD476650 (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
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
589 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 119 | $76 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 79 | $112 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $132 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 70 | $95 |
| Test to Measure Expiratory Airflow and Volume94010 | 39 | $8 |
| Test to Examine How Well the Lungs Exchange Gases94729 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 97 | 25 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 96 | 36 |
| Azithromycin | 51 | 24 |
| Prednisone | 51 | 27 |
| Valganciclovir Hcl | 49 | — |
| Nintedanib Esylatebrand: Ofev | 42 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$110 across 1 record (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
Additional practice locations (1)
- 1500 E Medical Center DrTc 3116Ann Arbor, MI 48109-5368Phone: (734) 845-5290
Registry dates
- Enumerated
- 2016-05-24
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Rachel Criner's NPI number?
- Rachel Criner's National Provider Identifier (NPI) is 1285081851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Criner's specialty?
- Rachel Criner is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Rachel Criner located?
- Rachel Criner's practice location on file with NPPES is 3401 N Broad St, Philadelphia, PA 19140-5103.
- What is Rachel Criner's phone number?
- The practice phone number listed in the NPPES registry for Rachel Criner is (215) 707-5864.
- Does Rachel Criner accept Medicare?
- Rachel Criner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Criner's NPI active?
- Yes — Rachel Criner's NPI (1285081851) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.