DR. ROLAND JEAN CREVECOEUR JR. M.D
NPI 1003912031
Pediatrics in Hollidaysburg, PA
NPI Status: Active since September 16, 2006
Contact Information
1800 N JUNIATA ST
HOLLIDAYSBURG, PA
ZIP 16648
Phone: (814) 695-1675
Fax: (814) 695-0632
- Individual
- Male
- Pediatrics
- PECOS Enrolled
- CLIA Number: 39D2005798
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-23-2027
About ROLAND CREVECOEUR
This page provides the complete NPI Profile along with additional information for Roland Crevecoeur, a pediatrician established in Hollidaysburg, Pennsylvania with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1003912031 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X with license number MD-419870 (PA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1003912031
- Provider Name
- DR. ROLAND JEAN CREVECOEUR JR. M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1800 N JUNIATA ST HOLLIDAYSBURG, PA 16648
- Location Phone
- (814) 695-1675
- Location Fax
- (814) 695-0632
- Mailing Address
- 1800 N JUNIATA ST P O BOX 632 HOLLIDAYSBURG, PA 16648
- Mailing Phone
- (814) 695-1675
- Mailing Fax
- (814) 695-0632
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-16-2006
- Last Update Date
- 01-20-2012
- Code Navigator
A pediatrician like Roland Crevecoeur is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-419870
- License State
- PA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | MD419870 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110094 | OTHER (01) | PA | LEGACY PIN |
| 001922333 | MEDICAID (05) | PA | |
| G71811 | MEDICARE UPIN (02) | PA | |
| P00432632 | OTHER (01) | PA | RR PIN |
Medicare Participation & PECOS Enrollment Status
Roland Crevecoeur is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF000N)
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) (HCPCS:A4314)
1 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Orthotic Devices (DF000N)
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each (HCPCS:A4357)
1 DME suppliers used 22 Medicare Claims 26 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each (HCPCS:A4390)
1 DME suppliers used 12 Medicare Claims 240 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, pectin-based, paste, per ounce (HCPCS:A4406)
1 DME suppliers used 62 Medicare Claims 124 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)
1 DME suppliers used 45 Medicare Claims 900 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each (HCPCS:A4432)
1 DME suppliers used 45 Medicare Claims 890 Services Paid
DME-Orthotic Devices (DF000N)
Tracheostomy, inner cannula (HCPCS:A4623)
1 DME suppliers used 110 Medicare Claims 3257 Services Paid
DME-Orthotic Devices (DF010N)
Skin barrier, wipes or swabs, each (HCPCS:A5120)
1 DME suppliers used 39 Medicare Claims 1050 Services Paid
DME-Orthotic Devices (DF000N)
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each (HCPCS:A7520)
1 DME suppliers used 31 Medicare Claims 31 Services Paid
DME-Orthotic Devices (DF000N)
Tracheostomy tube collar/holder, each (HCPCS:A7526)
1 DME suppliers used 105 Medicare Claims 3136 Services Paid
Durable Medical Equipment
DME-Medical/Surgical Supplies (DA000N)
Adhesive remover, wipes, any type, each (HCPCS:A4456)
1 DME suppliers used 71 Medicare Claims 3550 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6212)
1 DME suppliers used 17 Medicare Claims 204 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6402)
1 DME suppliers used 96 Medicare Claims 5562 Services Paid
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
1 DME suppliers used 36 Medicare Claims 36 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
2 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
2 DME suppliers used 54 Medicare Claims 106 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 98 Medicare Claims 98 Services Paid
DME-Other DME (DE000N)
Respiratory suction pump, home model, portable or stationary, electric (HCPCS:E0600)
1 DME suppliers used 69 Medicare Claims 69 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot (HCPCS:E0954)
1 DME suppliers used 11 Medicare Claims 21 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)
1 DME suppliers used 21 Medicare Claims 21 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)
1 DME suppliers used 18 Medicare Claims 36 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)
1 DME suppliers used 16 Medicare Claims 32 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each (HCPCS:E0978)
1 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)
1 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Wheelchairs (DD000N)
Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)
1 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 114 Medicare Claims 114 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches (HCPCS:E2203)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each (HCPCS:E2213)
1 DME suppliers used 12 Medicare Claims 24 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware (HCPCS:E2231)
1 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Wheelchairs (DD021N)
Adjustable angle footplate, each (HCPCS:K0040)
1 DME suppliers used 19 Medicare Claims 37 Services Paid
DME-Wheelchairs (DD021N)
Iv hanger, each (HCPCS:K0105)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Unknown
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)
1 DME suppliers used 27 Medicare Claims 378 Services Paid
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)
1 DME suppliers used 541 Medicare Claims 7570 Services Paid
Other-Enteral and Parenteral (OB006N)
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 (HCPCS:B4150)
1 DME suppliers used 219 Medicare Claims 44599 Services Paid
Other-Enteral and Parenteral (OB006N)
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 (HCPCS:B4152)
1 DME suppliers used 188 Medicare Claims 42982 Services Paid
Other-Enteral and Parenteral (OB006N)
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 (HCPCS:B4153)
1 DME suppliers used 85 Medicare Claims 19116 Services Paid
Other-Enteral and Parenteral (OB006N)
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 (HCPCS:B4154)
1 DME suppliers used 55 Medicare Claims 11592 Services Paid
Other-Enteral and Parenteral (OB006N)
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 (HCPCS:B4155)
1 DME suppliers used 88 Medicare Claims 1172 Services Paid
Other-Enteral and Parenteral (OB005N)
Enteral nutrition infusion pump, any type (HCPCS:B9002)
1 DME suppliers used 45 Medicare Claims 45 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Influenza vaccine, quadrivalent, 0.5 ml dosage
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
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.
This service was performed 63 times for 63 patientsThe Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.
This service was performed 63 times for 63 patientsA 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.
This service was performed 285 times for 85 patientsA 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.
This service was performed 248 times for 89 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 16648 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2005798
- Facility Type
- Physician Office
- Certificate Effective Date
- September 24, 2025
- Certificate Expiration Date
- September 23, 2027
- Laboratory Director
- DR. ROLAND CREVECOEUR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Roland Crevecoeur to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003912031, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
HOLLIDAYSBURG, PA 16648
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003912031, enumerated as an "individual" on September 16, 2006.
The provider is located at 1800 N JUNIATA ST HOLLIDAYSBURG, PA 16648 and the phone number is (814) 695-1675.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.