Individual provider Active NPI

Craig S Yetter, DO

  • Family Medicine Physician
  • Waxahachie, TX
National Provider Identifier
1164436168
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2916 Issued in TX
Practice address
572 Coleman St
Waxahachie, TX 75165-2837
Phone
(972) 923-2440
Fax
(972) 923-2445
NPI assigned
Jul 28, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H2916 TX
Family Medicine Physician 207Q00000X H2916 TX Primary

Addresses

Primary practice location

572 Coleman St
Waxahachie, TX 75165-2837

Mailing address

572 Coleman St
Waxahachie, TX 75165-2837
Phone (972) 923-2440

Other identifiers 1

IdentifierTypeStateIssuer
137977817MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000562 TX Practitioner - Family PracticePractitioner - Emergency Medicine 5991785784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

572 Coleman St
Waxahachie, TX 75165-2837
Phone 9729232440128

805 W Lampasas St
Ennis, TX 75119-4535
Phone (972) 923-2440

Merit-based Incentive Payment System (MIPS)

Final score
81.93 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H2916TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Coalition for Health Options CurrentSince Jan 1, 2026 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Jan 1, 2026 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 30, 2019 Accepting new patients
Metropolitan Emergency Physicians, P.a. Emergency Medicine Past Accepting new patients
Lamar Emergency Group PA Emergency Medicine Past Accepting new patients
Texas Em-I Medical Services, PA Emergency Medicine Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

Interoperability endpoints

  • Direct secure messaging: craig.yetter.p1@direct.hopehealthtx.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1164436168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 COLEMAN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652837",
            "telephone_number": "972-923-2440",
            "fax_number": "972-923-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 COLEMAN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652837",
            "telephone_number": "972-923-2440",
            "fax_number": "972-923-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETTER",
        "first_name": "CRAIG",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H2916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137977817",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.