DR. ROLAND JEAN CREVECOEUR JR. M.D
NPI 1003912031
Pediatrics in Hollidaysburg, PA

Q: What is Roland Crevecoeur's NPI number?

The NPI number for Roland Crevecoeur is 1003912031. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Roland Crevecoeur's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Roland Crevecoeur was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2006PECOS EnrolledCLIA 39D2005798 · Waiver

1800 N JUNIATA ST, HOLLIDAYSBURG, PA 16648(814) 695-1675(814) 695-0632 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Roland Jean Crevecoeur Jr. M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROLAND JEAN CREVECOEUR JR. M.D (NPI 1003912031) is an individual pediatrics provider in Hollidaysburg, Pennsylvania, licensed in Pennsylvania (MD-419870) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through September 23, 2027.

NPPES Registry Identity

NPI1003912031

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ROLAND JEAN CREVECOEUR JR.Credential: M.D

Location Address1800 N JUNIATA STHollidaysburg, PA 16648-1997

Mailing Address1800 N Juniata St, P O Box 632Hollidaysburg, PA 16648-1997 · (814) 695-1675 · Fax (814) 695-0632

Phone(814) 695-1675

Fax(814) 695-0632

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJanuary 20, 2012

✔ NPI 1003912031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD-419870

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD419870 (PA)

1800 N JUNIATA ST, Hollidaysburg, PA 16648

Open in Google Maps ↗

Other Identifiers 4

Other110094PA · Legacy Pin

Medicaid001922333PA

Medicare UPING71811PA

OtherP00432632PA · Rr Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roland Jean Crevecoeur Jr. M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Roland Crevecoeur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nason Physician Practices LLC

6.7 mi

Obstetrics & Gynecology

104 HILLCREST DR
Roaring Spring, PA 16673

Reassigned Medicare billing, Pennsylvania enrollment
112 clinicians in this Medicare group

NPI 1306236609 (814) 224-5455

Pennsylvania Department Of Human Services

19 mi

Intermediate Care Facility, Intellectual Disabilities

4051 ADMIRAL PEARY HWY
Ebensburg, PA 15931

Reassigned Medicare billing, Pennsylvania enrollment
9 clinicians in this Medicare group

NPI 1154304483 (814) 472-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2005798

Roland Crevecoeur Jr MD · Hollidaysburg, PA

Active · expires Sep 23, 2027

CLIA Number39D2005798

Laboratory TypePhysician Office

Certificate Effective DateSeptember 24, 2025

Certificate Expiration DateSeptember 23, 2027

Laboratory DirectorDr. Roland Crevecoeur

Laboratory Phone(814) 695-0632

Laboratory LocationRoland Crevecoeur Jr MD1890 N Juniata St, Hollidaysburg, PA 16648

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

230 services81 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

219 services65 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

60 services60 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 40

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier18 claims18 services$21.89 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier22 claims26 services$8.55 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$7.91 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier62 claims124 services$5.53 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier45 claims900 services$6.00 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

1 supplier45 claims890 services$3.42 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier71 claims3,550 services$0.23 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier110 claims3,257 services$6.34 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier39 claims1,050 services$0.23 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier17 claims204 services$9.35 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier96 claims5,562 services$0.11 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers11 claims11 services$82.41 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier36 claims36 services$34.77 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers16 claims16 services$16.76 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers54 claims106 services$2.23 avg. paid by Medicare

Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520

DME-Orthotic Devices · category DF000N

1 supplier31 claims31 services$45.87 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier105 claims3,136 services$3.25 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier27 claims378 services$2.97 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier541 claims7,570 services$5.63 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier219 claims44,599 services$0.36 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier188 claims42,982 services$0.31 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier85 claims19,116 services$1.12 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier55 claims11,592 services$0.65 avg. paid by Medicare

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155

Other-Enteral and Parenteral · category OB006N

1 supplier88 claims1,172 services$0.63 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier45 claims45 services$63.79 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier98 claims98 services$17.02 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier69 claims69 services$33.08 avg. paid by Medicare

Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot E0954

DME-Wheelchairs · category DD021N

1 supplier11 claims21 services$4.94 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier21 claims21 services$13.45 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

1 supplier18 claims36 services$4.12 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

1 supplier16 claims32 services$8.88 avg. paid by Medicare

Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978

DME-Wheelchairs · category DD021N

1 supplier18 claims18 services$3.49 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier22 claims22 services$13.70 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier22 claims22 services$169.88 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier114 claims114 services$89.30 avg. paid by Medicare

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches E2203

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$42.15 avg. paid by Medicare

Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each E2213

DME-Wheelchairs · category DD021N

1 supplier12 claims24 services$2.94 avg. paid by Medicare

Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware E2231

DME-Wheelchairs · category DD021N

1 supplier18 claims18 services$14.57 avg. paid by Medicare

Adjustable angle footplate, each K0040

DME-Wheelchairs · category DD021N

1 supplier19 claims37 services$5.94 avg. paid by Medicare

Iv hanger, each K0105

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$8.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLY TRINITY REHABILITATION LLC

Physical Therapist

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (814) 207-6620

JOSEPH KRILICH PT

Physical Therapist (Orthopedic)

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (814) 283-5432

BRITTANY KENNEDY PT

Physical Therapist

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (814) 283-5432

BRIAN G SWEENEY PT

Physical Therapist (Orthopedic)

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (814) 283-5432

DR. JENNIFER JEAN RANDALL DPT

Physical Therapist

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (814) 283-5432

COREY MICHAEL KOSS

Physical Therapist

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (814) 283-5432

PENN NEUROMUSCULAR DIAGNOSTICS, LLC

Clinic/Center (Physical Therapy)

1800 N JUNIATA ST
HOLLIDAYSBURG, PA 16648

Blair County (724) 801-8894

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roland Crevecoeur's NPI number?

The NPI number for Roland Crevecoeur is 1003912031. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Roland Crevecoeur located?

Roland Crevecoeur practices at 1800 N Juniata St, Hollidaysburg, PA 16648. The listed phone number is (814) 695-1675.

What is Roland Crevecoeur's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Roland Crevecoeur enrolled in Medicare?

Yes. Roland Crevecoeur is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roland Crevecoeur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roland Crevecoeur reassigns Medicare benefits to 2 organizations: Nason Physician Practices LLC (Roaring Spring, PA) and Pennsylvania Department Of Human Services (Ebensburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roland Crevecoeur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Roland Crevecoeur hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2005798) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roland Crevecoeur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Roland Crevecoeur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roland Crevecoeur was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

About Dr. Roland Jean Crevecoeur Jr. M.d NPPES

NPPES Registry Identity

Specialties & Licenses 2

Other Identifiers 4

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignments

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 39D2005798

Areas of Expertise CMS Part B claims 4

Physician Visit Costs CMS claims · ZIP area

Referred Medical Equipment & Supplies CMS DME claims 40

Other Providers at the Same Location NPPES 7

Frequently Asked Questions NPPES & CMS

What is Roland Crevecoeur's NPI number?

Where is Roland Crevecoeur located?

What is Roland Crevecoeur's specialty?

Is Roland Crevecoeur enrolled in Medicare?

Which organizations bill Medicare for Roland Crevecoeur's services?

Does Roland Crevecoeur hold a CLIA laboratory certificate?

What insurance does Roland Crevecoeur accept?

When was this NPI record last updated?

Certificate of Waiver 39D2005798