RYAN CRADDOCK D.O.
NPI 1649666488
Hospitalist in Princeton, WV
Quality Rating: 94.75 out of 100 score
NPI Status: Active since April 08, 2015
- Individual
- Male
- Hospitalist
- PECOS Enrolled
- Medicare Quality Reporting
About RYAN CRADDOCK
This page provides the complete NPI Profile along with additional information for Ryan Craddock, a provider established in Princeton, West Virginia with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1649666488 assigned on April 2015. The practitioner's primary taxonomy code is 208M00000X with license number 3295 (WV). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1649666488
- Provider Name
- RYAN CRADDOCK D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 122 12TH ST PRINCETON, WV 24740
- Location Phone
- (304) 487-7047
- Mailing Address
- 118 12TH STREET EXT PRINCETON, WV 24740
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-08-2015
- Last Update Date
- 11-18-2019
- Code Navigator
Location Map
Secondary Locations
- 500 Cherry St
Bluefield, WV 24701
(304) 327-1100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 3295
- License State
- WV
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 3295 (WV) |
Medicare Participation & PECOS Enrollment Status
Ryan Craddock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Initial hospital observation care per day, typically 50 minutes
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 233 times for 217 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 96 times for 94 patientsInitial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.
This service was performed 125 times for 120 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 24740 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.46
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $31.11
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.81
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $23.7
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 94.75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 71.19
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
Care Plan | 89% | 82 |
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
Documentation of Current Medications in the Medical Record | 100% | 87 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Implementation of an ASP | Yes | N/A |
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
Participation in Joint Commission Evaluation Initiative | Yes | N/A |
Participation in Joint Commission Ongoing Professional Practice Evaluation initiative |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 4 | 9 | 6 | 6 | 6 | 4 | 8 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 8 | 9 | 12 | 6 | 12 | 4 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 8 + 9 + 1 + 2 + 6 + 1 + 2 + 4 + 1 + 6 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1649666488 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1679514848 | DR. MICHAEL R. MILLS D.O. Individual | Emergency Medicine | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1396786562 | JENNIFER L PACK PA-C Individual | Physician Assistant | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1598708307 | DR. BYRON SMITH D.O. Individual | Emergency Medicine | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1013950823 | SANDRA M. WYNN NP Individual | Nurse Practitioner | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1174547442 | DAVID W. PERDUE JR. PA-C Individual | Physician Assistant (Medical) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1255446548 | BRADLEY C. BAILEY PA-C Individual | Physician Assistant (Medical) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1518177328 | DR. CHRISTOPHER A DANIEL DO Individual | Internal Medicine | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1780997098 | MRS. ARTHI VASUDEVAN PRICE PA-C Individual | Physician Assistant | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1912307323 | MRS. MEGAN ALYSE MEADOWS FNP-BC Individual | Nurse Practitioner (Family) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1043256282 | DR. YOGINDER K. YADAV M.D. Individual | Hospitalist | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1356527311 | PENNIE FAITH GOINS APRN, FNP-BC Individual | Nurse Practitioner (Family) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1851843114 | PHILLIP SEAN MCKENZIE FNP-BC Individual | Nurse Practitioner (Family) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7726 |
1326049586 | DR. THOMAS CHARLES MARTIN JR. M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7349 |
1548610975 | CASSIDY SMITH D.O. Individual | Hospitalist | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1508310814 | COREY WHITE DO Individual | Hospitalist | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1295360501 | KAITLIN DOUGLAS Individual | Nurse Practitioner | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1508495169 | DR. VALERIE RENEE MOULD PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 122 12TH ST PRINCETON, WV 24740 (304) 487-7265 |
1396453320 | CAITLYN HALL DPT Individual | Physical Therapist | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1831895978 | ASHLEE HUGGINS PT, DPT Individual | Physical Therapist | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
1346656667 | DR. DAVID BEIHL MD Individual | Pediatrics | 122 12TH ST PRINCETON, WV 24740 (304) 487-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649666488, enumerated in the NPI registry as an "individual" on April 08, 2015
The provider is located at 122 12th St Princeton, Wv 24740 and the phone number is (304) 487-7047
The provider's speciality is Hospitalist with taxonomy code 208M00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $124.46 with an average copayment of $31.11 for new patient appointments. Established patients should expect a typical charge of $94.81 and an average copayment of 23.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 50 minutes.
This NPI record was last updated on April 08, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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