Doctor profile · Federal record
Dr. Gerard Criner, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Philadelphia, PA
- NPI 1013905157
- Accepts Medicare
- MIPS 72.5 / 100 · 2023
- 47 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3401 N Broad St
Philadelphia, PA 191405103
(215) 707-5864
fax (215) 707-6867 - Mailing address
-
2450 W Hunting Park Ave, 3/208N
Philadelphia, PA 191291302
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- May 12, 2016
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Pennsylvania #MD024328E
- Medicaid
- PA #0008603990002
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013905157. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,157
Distinct HCPCS
10
Medicare allowed
$248,047
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 429 | 279 | $101 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 328 | 197 | $135 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 312 | 147 | $148 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 144 | 54 | $82 | |
96372 |
Injection of drug or substance under skin or into muscle | 131 | 12 | $15 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 117 | 72 | $188 | |
99291 |
Critical care, first 30-74 minutes | 111 | 53 | $223 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $139 | |
31622 |
Diagnostic exam of lung airway using an endoscope | 67 | 32 | $136 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $173 |
In context: peer comparison
Among 61 peers in Philadelphia Pulmonary Disease Physician, average services per provider: 77. This provider delivers 28× the peer median.Open Payments
Industry payments received
All-time total
$97,219
Transactions
58
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genzyme Corporation | 14 | $26,200.39 | |
| Pulmonx Corporation | 5 | $25,226.95 | |
| GlaxoSmithKline, LLC. | 4 | $16,575.00 | |
| Olympus Corporation of the Americas | 18 | $12,818.70 | |
| Genentech USA, INC. | 5 | $5,795.83 | |
| AstraZeneca Pharmaceuticals Lp | 3 | $3,610.50 | |
| F. Hoffmann-la Roche Ag | 1 | $3,300.00 | |
| Aero US INC | 2 | $2,100.00 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $700.00 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $600.00 | |
| Regeneron Healthcare Solutions, INC. | 3 | $214.04 | |
| Boston Scientific Corporation | 1 | $77.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
996
Patients
243
Total drug cost
$1,303,743
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 145 | 58 | $983 |
| Azithromycin | Generic | 127 | 30 | $1,651 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 110 | 28 | $101,363 |
| Ofev (Nintedanib Esylate) | Brand | 86 | 14 | $1,045,845 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 78 | 20 | $489 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 59 | 31 | $3,454 |
| Atovaquone | Generic | 57 | 0 | $51,898 |
| Pantoprazole Sodium | Generic | 51 | 12 | $562 |
| Metoprolol Tartrate | Generic | 50 | 11 | $578 |
| Mycophenolate Mofetil | Generic | 49 | 0 | $5,096 |
Hospital affiliations
Frequently asked questions
What is Dr. Gerard Criner's medical specialty?
Dr. Gerard Criner practices Pulmonary Disease Physician in Philadelphia, PA.
Where does Dr. Gerard Criner practice?
Dr. Gerard Criner practices at 3401 N Broad St, Philadelphia, PA 191405103. Office phone: 2157075864.
What is Dr. Gerard Criner's NPI?
Dr. Gerard Criner's National Provider Identifier (NPI) is 1013905157, issued by NPPES.
Does Dr. Gerard Criner accept Medicare assignment?
Yes. Dr. Gerard Criner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gerard Criner commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.