Active NPI 1013900299 Individual Practitioner Male Practitioner

Dr. Craig L Stemmer , MD

Internal Medicine - Nephrology • Boca Raton, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Stemmer, MD is a certified Internal Medicine - Nephrology practicing in Boca Raton, FL. With approximately 45 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1981, Dr. Stemmer delivers high-quality medical care to the local community at 2900 N MILITARY TRL.

Dr. Stemmer is affiliated with Boca Nephrology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2900 N Military Trl
Ste 195

Boca Raton, FL 334316365

Telephone 5612417100

Fax 5612413647

Associated Practice Facility / Clinic

🏢 Boca Nephrology Pa Facility NPI 1578556759

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Boca Raton, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +18.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Boca Raton, FL (865 Statewide)

Telehealth Adoption Rate

54.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stemmer (45 Years) 45 Yrs

Boca Raton Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	612	272	$45.00	$23.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	539	259	$22.00	$7.61
99213 Established patient office or other outpatient visit, typically 15 minutes	485	287	$125.00	$92.21
90970 Dialysis services, per day, less than full month service (20 years or older)	468	15	$18.00	$9.41
81003 Automated urinalysis test	461	253	$15.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	235	$175.00	$130.42
36415 Insertion of needle into vein for collection of blood sample	119	104	$5.67	$4.96
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	112	22	$600.00	$357.89
81000 Manual urinalysis test with examination using microscope, non-automated	35	34	$15.00	$3.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$225.00	$183.05
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	18	16	$540.00	$297.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$225.00	$171.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$300.00	$226.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$100.00	$57.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	936	327	$45.00	$23.64
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	854	322	$22.00	$7.68
99213 Established patient office or other outpatient visit, typically 15 minutes	812	365	$125.00	$94.23
90970 Dialysis services, per day, less than full month service (20 years or older)	811	22	$18.08	$9.93
81003 Automated urinalysis test	714	304	$15.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	276	$175.00	$132.17
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	198	27	$600.00	$370.02
36415 Insertion of needle into vein for collection of blood sample	156	130	$6.54	$2.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	36	$226.70	$187.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$300.00	$231.44
81000 Manual urinalysis test with examination using microscope, non-automated	30	30	$15.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$225.00	$175.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$100.00	$58.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,113	369	$123.60	$95.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	1,110	305	$44.40	$23.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,000	305	$22.00	$7.77
81003 Automated urinalysis test	819	296	$15.00	$2.25
90970 Dialysis services, per day, less than full month service (20 years or older)	691	15	$18.00	$9.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	262	$170.37	$135.41
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	212	28	$600.00	$375.25
36415 Insertion of needle into vein for collection of blood sample	195	144	$5.00	$3.00
81000 Manual urinalysis test with examination using microscope, non-automated	50	50	$15.00	$4.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$225.00	$176.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$223.81	$189.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$300.00	$233.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$94.74	$58.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	1,229	308	$40.00	$22.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,055	299	$22.00	$7.72
99213 Established patient office or other outpatient visit, typically 15 minutes	1,033	356	$115.00	$75.56
81003 Automated urinalysis test	915	289	$15.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	760	295	$135.00	$109.30
90970 Dialysis services, per day, less than full month service (20 years or older)	735	23	$18.01	$8.22
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	302	38	$600.00	$287.62
36415 Insertion of needle into vein for collection of blood sample	127	106	$5.00	$2.97
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	55	53	$65.45	$49.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	39	$175.00	$146.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$225.00	$167.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$300.00	$209.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$75.00	$46.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	1,279	48	$17.99	$8.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	1,110	302	$40.00	$23.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	929	286	$22.00	$8.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	820	316	$135.00	$111.86
81003 Automated urinalysis test	658	263	$15.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	533	288	$115.00	$76.69
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	298	44	$600.00	$293.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	285	49	$95.00	$75.78
36415 Insertion of needle into vein for collection of blood sample	223	160	$5.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	67	$175.00	$150.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	44	$135.00	$108.24
81000 Manual urinalysis test with examination using microscope, non-automated	62	59	$15.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$225.00	$171.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$300.00	$215.30
99238 Hospital discharge day management, 30 minutes or less	19	16	$100.00	$75.89
93000 Routine ekg using at least 12 leads including interpretation and report	18	15	$50.00	$17.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$275.00	$210.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$75.00	$46.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	1,375	43	$18.00	$8.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	1,139	324	$40.00	$22.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	847	295	$22.00	$9.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	741	298	$135.00	$111.21
81003 Automated urinalysis test	556	270	$15.00	$2.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	530	128	$95.00	$76.05
99213 Established patient office or other outpatient visit, typically 15 minutes	495	288	$115.00	$75.49
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	374	51	$622.46	$293.12
36415 Insertion of needle into vein for collection of blood sample	166	126	$5.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	84	55	$135.00	$108.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$225.00	$143.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	42	$176.11	$150.28
81000 Manual urinalysis test with examination using microscope, non-automated	41	41	$15.00	$3.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	23	$70.00	$41.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$275.00	$212.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$225.00	$172.19
99238 Hospital discharge day management, 30 minutes or less	23	19	$100.00	$76.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$75.00	$45.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$300.00	$216.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	1,754	54	$18.00	$8.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	1,176	326	$40.00	$20.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	896	308	$22.00	$10.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	313	$135.00	$110.90
99213 Established patient office or other outpatient visit, typically 15 minutes	622	337	$115.00	$75.46
81003 Automated urinalysis test	535	270	$15.00	$3.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	447	153	$95.00	$74.86
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	399	48	$600.00	$292.42
36415 Insertion of needle into vein for collection of blood sample	182	148	$5.00	$2.94
83051 Plasma hemoglobin level	158	14	$20.00	$9.83
85014 Red blood cell concentration measurement	158	14	$10.00	$3.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	55	$70.00	$41.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$225.00	$143.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	38	$175.00	$149.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$225.00	$171.12
99238 Hospital discharge day management, 30 minutes or less	37	30	$100.00	$75.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	28	$135.00	$108.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	22	$275.00	$211.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$150.00	$113.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$75.00	$45.09

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License FL ME41999

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

067912700 (FL)

Commercial Insurance / Payer ID United Healthcare

3102040

Commercial Insurance / Payer ID Railroad Medicare

010016136

Commercial Insurance / Payer ID Oxford

P505636

Commercial Insurance / Payer ID Ghi

0046634

Hospital & Practice Group Affiliations

Boca Nephrology Pa

2900 N Military Trl, Boca Raton, FL 334316308

Phone: 5612417100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Mary Sifain , DO

Internal Medicine - Nephrology

NPI 1013474188

Doctor of Osteopathic Medicine (D.O.)

Dr. Jared Jaffe , DO

Internal Medicine - Nephrology

NPI 1093709859

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2011

Registered at 2900 N MILITARY TRL, STE 195, BOCA RATON, FL 334316365 (Tel: 5612417100)

📍

Updated Business Mailing Address July 11, 2011

Registered at 2900 N MILITARY TRL, STE 195, BOCA RATON, FL 334316365 (Tel: 5612417100)

👤

Provider Name / Credentials Updated July 11, 2011

Recorded as CRAIG STEMMER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2011

Internal Medicine (License #ME41999 in FL)

🟢

Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013900299

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 24, 2005

Last Update: July 11, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2900 N Military Trl, Ste 195

Boca Raton, FL 334316365

Phone: 5612417100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.