Active NPI 1457525719 Individual Practitioner Male Practitioner

Dr. Craig William Gurney , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Craig Gurney, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 18 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2008, Dr. Gurney delivers high-quality medical care to the local community at 4460 RED BANK RD.

Dr. Gurney is affiliated with University Of Cincinnati Physicians Company Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4460 Red Bank Rd

Cincinnati, OH 452272172

Telephone 5134757370

Fax 5135629098

Associated Practice Facility / Clinic

🏢 Drs Rivera Inc Facility NPI 1962405043

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gurney (18 Years) 18 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	58	$300.06	$87.13
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$212.00	$68.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$371.00	$38.63
G2211 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's	38	30	$47.00	$15.69
G0008 Administration of influenza virus vaccine	23	23	$50.00	$30.41
90662 Influenza vaccine split virus, preservative free	17	17	$136.00	$81.82
91320 Sarscv2 vac 30mcg trs-suc im	13	11	$252.00	$143.43
90480 Admn sarscov2 vacc 1 dose	13	11	$113.38	$40.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	60	$303.00	$79.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$371.00	$43.42
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$215.00	$72.24
G0008 Administration of influenza virus vaccine	24	24	$50.00	$29.36
90662 Influenza vaccine split virus, preservative free	18	18	$136.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	57	$280.50	$84.94
99213 Established patient office or other outpatient visit, typically 15 minutes	54	46	$195.74	$75.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$322.71	$43.21
G0008 Administration of influenza virus vaccine	24	23	$49.63	$27.97
90662 Influenza vaccine split virus, preservative free	22	21	$134.36	$68.39
0124A Fee covid-19 vac 13 res	16	16	$120.00	$36.91
91312 Coronavirus vaccine 13	15	15	$0.01	$0.01
91305 Sarscov2 vac 30 mcg trs-sucr	14	14	$0.01	$0.01
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	14	14	$120.00	$37.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	64	$260.00	$126.50
99213 Established patient office or other outpatient visit, typically 15 minutes	55	46	$175.00	$89.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$281.00	$128.66
G0008 Administration of influenza virus vaccine	26	26	$41.00	$16.19
90662 Influenza vaccine split virus, preservative free	22	22	$100.00	$65.26
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$265.00	$126.88
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$49.00	$14.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	55	$175.00	$72.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	53	$260.00	$105.80
99443 Telephone medical discussion with physician, 21-30 minutes	40	34	$265.00	$105.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$281.00	$111.66
G0008 Administration of influenza virus vaccine	27	26	$41.00	$16.01
90662 Influenza vaccine split virus, preservative free	22	21	$100.00	$59.87
99442 Telephone medical discussion with physician, 11-20 minutes	20	20	$183.00	$72.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	83	$175.00	$70.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	67	$260.00	$103.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$281.00	$110.94
G0008 Administration of influenza virus vaccine	32	32	$41.00	$15.75
90662 Influenza vaccine split virus, preservative free	17	17	$100.00	$54.89
G0009 Administration of pneumococcal vaccine	16	16	$41.00	$15.75
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$125.00	$50.10
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	52	$260.00	$103.80
99213 Established patient office or other outpatient visit, typically 15 minutes	89	58	$175.00	$70.19
G0008 Administration of influenza virus vaccine	32	32	$41.00	$19.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$281.00	$111.77
90662 Influenza vaccine split virus, preservative free	21	21	$100.00	$52.30
G0009 Administration of pneumococcal vaccine	17	17	$41.00	$19.29
90670 Pneumococcal vaccine for injection into muscle	14	14	$302.00	$199.26
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$42.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	73	$260.00	$103.12
99213 Established patient office or other outpatient visit, typically 15 minutes	70	50	$175.00	$70.02
G0008 Administration of influenza virus vaccine	37	36	$41.00	$23.76
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	33	33	$28.00	$17.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$417.00	$163.71
G0009 Administration of pneumococcal vaccine	20	20	$41.00	$23.76
90670 Pneumococcal vaccine for injection into muscle	14	14	$262.00	$188.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$281.00	$110.51
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$125.00	$50.08
99238 Hospital discharge day management, 30 minutes or less	11	11	$179.00	$70.40

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-099727

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100214290 (KY)

Medicaid State Provider ID

201083690 (IN)

Medicaid State Provider ID

0068914 (OH)

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

3188 Bellevue Ave, Cincinnati, OH 452192369

Phone: 5135841000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Mary Duck Robertshaw , MD

Internal Medicine

NPI 1013181361

Doctor of Medicine (M.D.)

Dr. Christopher Martindale , MD

Internal Medicine

NPI 1114422581

Doctor of Medicine (M.D.)

Dr. Natalie Jacobs , MD

Internal Medicine

NPI 1508000498

Doctor of Medicine (M.D.)

Dr. Lisa Fioretti , MD

Internal Medicine

NPI 1548792252

Doctor of Medicine (M.D.)

Jennifer Jones

Internal Medicine

NPI 1952005449

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 10, 2018

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855501)

📍

Updated Practice Location January 10, 2018

Registered at 4460 RED BANK RD, CINCINNATI, OH 452272172 (Tel: 5134757370)

👤

Provider Name / Credentials Updated January 10, 2018

Recorded as CRAIG GURNEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Internal Medicine (License #35-099727 in OH)

✅

NPI Profile Active May 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2014

Registered at 4460 RED BANK RD, CINCINNATI, OH 452272172 (Tel: 5134757370)

📍

Updated Business Mailing Address May 22, 2014

Registered at 4460 RED BANK RD, CINCINNATI, OH 452272172 (Tel: 5134757370)

👤

Provider Name / Credentials Updated May 22, 2014

Recorded as CRAIG GURNEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2014

Internal Medicine (License #35-099727 in OH)

🟢

Initial NPI Registration & Enumeration April 17, 2008

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: 1457525719

Entity Type:

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

Enumeration Date: April 17, 2008

Last Update: January 10, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855501

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.