Christopher Charles Cramer , ARNP
Nurse Practitioner • Puyallup, WA
1450 5th St Se Ste 4200
Puyallup, WA 983724604
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Christopher Cramer is listed in NPPES under Nurse Practitioner.
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NPI assigned on December 28, 2017; this date does not establish years in practice.
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Published CMS data list 3,632 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 — Injection, methylprednisolone acetate, 1 mg: 1,880 service units.
- J7325 — Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg: 1,248 service units.
- 20610 — Aspiration and/or injection of fluid from large joint: 155 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 410 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl — 139 prescription fills, including refills.
- Diclofenac Sodium — 90 prescription fills, including refills.
- Meloxicam — 71 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 29 clinicians with data). Median for this group: 394. Middle half: 109 to 647.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 116 in 2020 to 3,632 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1450 5th St Se Ste 4200
Puyallup, WA 983724604
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Multicare Health System. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
169 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $52,785 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $39,440 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
424 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,545 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $36.01 across 2 records.
By nature of payment
- Food and Beverage: $36.01 across 2 records.
Reporting-company totals
- VERTEX PHARMACEUTICALS INCORPORATED: $19.60 across 1 record.
- Linvatec Corporation: $16.41 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Christopher Cramer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Christopher Cramer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Puyallup and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 29 clinicians with data). Median for this group: 394. Middle half: 109 to 647.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 29 clinicians with data). Median for this group: $23,344. Middle half: $7,737 to $34,775.
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $18,362. Middle half: $7,179 to $35,594.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 29 clinicians with data). Median for this group: $17,222. Middle half: $5,514 to $26,370.
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $13,803. Middle half: $5,221 to $25,979.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 31 clinicians with data). Median for this group: 456. Middle half: 162 to 1,298.
Close to the middle for clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 31 clinicians with data). Median for this group: $15,284. Middle half: $1,770 to $84,206.
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.
57 active clinicians are listed under Nurse Practitioner with a practice address in Puyallup, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Puyallup
15.8% of these 57 clinicians have the CMS telehealth indicator.
70.2% of these 57 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 3031% from 116 in 2020 to 3,632 in 2024.
- 2020: 116
- 2021: 225
- 2022: 205
- 2023: 425
- 2024: 3,632
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Medicare-allowed amount
Medicare-allowed amount increased 308% from $12,933 in 2020 to $52,785 in 2024.
- 2020: $12,933
- 2021: $18,482
- 2022: $16,455
- 2023: $36,227
- 2024: $52,785
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Paid by Medicare
Paid by Medicare increased 293% from $10,041 in 2020 to $39,440 in 2024.
- 2020: $10,041
- 2021: $14,319
- 2022: $12,500
- 2023: $27,094
- 2024: $39,440
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 34% from 307 in 2020 to 410 in 2024.
- 2020: 307
- 2021: 319
- 2022: 309
- 2023: 414
- 2024: 410
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30-day fills
30-day fills increased 33% from 318 in 2020 to 424 in 2024.
- 2020: 318
- 2021: 345
- 2022: 343
- 2023: 425
- 2024: 424
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Part D drug cost
Part D drug cost increased 15% from $2,211 in 2020 to $2,545 in 2024.
- 2020: $2,211
- 2021: $3,842
- 2022: $3,213
- 2023: $3,249
- 2024: $2,545
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $12.21 in 2021 to $36.01 in 2025.
- 2021: $12.21
- 2023: $157.45
- 2025: $36.01
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $36.01.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $19.60 |
| Linvatec Corporation |
Food and Beverage
In-kind items and services
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BIOBRACE 23MM | General | $16.41 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
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1,880 | 30 | $1.00 | $0.12 |
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J7325
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
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1,248 | 13 | $25.00 | $8.88 |
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20610
Aspiration and/or injection of fluid from large joint
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155 | 71 | $245.00 | $65.65 |
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J7323
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
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116 | 26 | $311.00 | $119.83 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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73 | 54 | $242.00 | $75.98 |
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73502
X-ray of hip, 2-3 views
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29 | 25 | $424.14 | $36.07 |
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J1030
Injection, methylprednisolone acetate, 40 mg
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28 | 22 | $20.00 | $6.36 |
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27447
Replacement of knee joint, both sides of knee
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26 | 23 | $3750.00 | $164.66 |
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73560
X-ray of knee, 1-2 views
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25 | 21 | $455.00 | $25.34 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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24 | 20 | $343.00 | $101.49 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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16 | 16 | $3754.00 | $171.88 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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12 | 12 | $152.00 | $44.17 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 139 | 626 | $718.89 | 93 |
| Diclofenac Sodium | Diclofenac Sodium | 90 | 2,470 | $778.49 | 44 |
| Meloxicam | Meloxicam | 71 | 2,301 | $432.86 | 25 |
| Amoxicillin | Amoxicillin | 50 | 169 | $76.39 | 28 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 30 | 156 | $192.54 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | 260 | $232.15 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 13 | 217 | $114.01 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20180301001880
WA
4284995598
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Multicare Health System
4700 Point Fosdick Dr, Gig Harbor, WA 983351706
Multicare Health System
407 14th Ave Se, Puyallup, WA 983723770
Phone: 2536971962
Multicare Health System
311 S L St, Tacoma, WA 984053720
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated December 28, 2017.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2018 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Puyallup
- Heather Hokanson, ARNP
- Dr. Emily Banks, RN, DNP
- Esther Heath-Mills, ARNP
- Francis Prince, ARNP
- Hazel Rose King, NP
- Miroslava Dostan, ARNP
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Mailing Address
30518 54th Ave S
Auburn, WA 980012726
Phone: 2533343693