Craig Schmalzried, M.D.
NPI 1831167741 · Family Medicine Physician · Elizabethton, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Craig Schmalzried, M.D. is a Family Medicine Physician provider in Elizabethton, TN (NPI 1831167741).
Provider details
- NPI number
- 1831167741
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD0000037421 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
501 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 242 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 88 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 78 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 49 | $122 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 44 | $18 |
Typical Medicare-allowed amounts for these services range $9–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 149 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 421 | 62 |
| Levothyroxine Sodium | 285 | 74 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 249 | 37 |
| Pantoprazole Sodium | 224 | 59 |
| Omeprazole | 195 | 60 |
| Atorvastatin Calcium | 185 | 55 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$183 across 9 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
Additional practice locations (2)
- 1497 W Elk Ave Ste 21Elizabethton, TN 37643-2896Phone: (423) 543-1261
- 1404 Tusculum BlvdSuite 2100/2300Greeneville, TN 37745-4395Phone: (423) 638-1188Fax: (423) 636-1514
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Frequently asked questions
- What is Craig Schmalzried's NPI number?
- Craig Schmalzried's National Provider Identifier (NPI) is 1831167741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Craig Schmalzried's specialty?
- Craig Schmalzried is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Craig Schmalzried located?
- Craig Schmalzried's practice location on file with NPPES is 1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848.
- What is Craig Schmalzried's phone number?
- The practice phone number listed in the NPPES registry for Craig Schmalzried is (423) 547-3380.
- Does Craig Schmalzried accept Medicare?
- Craig Schmalzried is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Craig Schmalzried's NPI active?
- Yes — Craig Schmalzried's NPI (1831167741) is active in the NPPES registry as of the last update on 2024-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.