DR. KENNETH LEE CROSBY JR. M.D.
NPI 1013018159
Radiology - Diagnostic Radiology in Lynchburg, VA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.45/100
CMS Quality Rating
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501(434) 200-5047 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Jan 10, 2023, Feb 23, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Kenneth Lee Crosby Jr. M.d. NPPES

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

DR. KENNETH LEE CROSBY JR. M.D. (NPI 1013018159) is an individual diagnostic radiology provider in Lynchburg, Virginia, licensed in North Carolina (200101032) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013018159
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KENNETH LEE CROSBY JR.Credential: M.D.
Location Address1901 TATE SPRINGS RDLynchburg, VA 24501-1109
Mailing Address5220 Greens Dairy RdRaleigh, NC 27616-4612 · (919) 256-3576
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1999
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 17, 20244 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1013018159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NC · 200101032 Licensed in VA · 0101271324 Licensed in SC · 85214
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 200101032 (NC)
1901 TATE SPRINGS RD, Lynchburg, VA 24501

Secondary Practice Locations 2

Location 13186 Village Dr Ste 201Fayetteville, NC 28304-3979 · Phone (910) 486-5700 · Fax (910) 486-5950
Location 25220 Greens Dairy RdRaleigh, NC 27616-4612 · Phone (919) 350-7000

Other Identifiers 2

Medicaid1013018159NC
OtherNC6987HNC · Nc Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Lee Crosby Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608779467
PECOS Enrollment IDI20040129000276, I20201203002189, I20201204000981
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.

Areas of Expertise CMS Part B claims 42

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,600 services16 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
406 services406 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
406 services406 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
359 services359 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
358 services358 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
189 services180 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.57
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology & Oncology)
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Emergency Medicine
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Speech-Language Pathologist
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Anesthesiology
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Emergency Medicine
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Hospitalist
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Nurse Practitioner
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Anesthesiology
1901 TATE SPRINGS RD
LYNCHBURG, VA 24501

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 Kenneth Crosby's NPI number?

The NPI number for Kenneth Crosby is 1013018159. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kenneth Crosby located?

Kenneth Crosby practices at 1901 Tate Springs Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-5047.

What is Kenneth Crosby's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kenneth Crosby enrolled in Medicare?

Yes. Kenneth Crosby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Crosby accept?

Health plans from Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Texas list Kenneth Crosby 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.

Is Kenneth Crosby affiliated with any hospitals?

According to CMS data, Kenneth Crosby is affiliated with Duke University Hospital, Wakemed, Raleigh Campus, Wilson Medical Center, Wakemed, Cary Hospital and East Cooper Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Crosby was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.