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DR. RODERIC CLAYTON CRIST MD
NPI 1033180120
Family Medicine in Cape Girardeau, MO

Active since January 28, 2006PECOS Enrolled
3095 LEXINGTON AVE, SUITE 200, CAPE GIRARDEAU, MO 63701(573) 339-0004 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Roderic Clayton Crist Md NPPES

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

DR. RODERIC CLAYTON CRIST MD (NPI 1033180120) is an individual family medicine provider in Cape Girardeau, Missouri, licensed in Missouri (R2H52) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033180120
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RODERIC CLAYTON CRISTCredential: MD
Location Address3095 LEXINGTON AVE, SUITE 200Cape Girardeau, MO 63701-2602
Mailing Address3095 Lexington Ave, Suite 200Cape Girardeau, MO 63701-2602 · (573) 339-0004
Phone(573) 339-0004
Sole ProprietorYes
Enumeration DateJanuary 28, 2006
Last NPPES UpdateAugust 11, 2011
✔ NPI 1033180120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R2H52
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3095 LEXINGTON AVE, Cape Girardeau, MO 63701
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Other Identifiers 4

Medicare UPINE59394MO
Medicare OSCAR/certification000095535MO
Other820571426MO · Tricare
Other080192016MO · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roderic Clayton Crist Md 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 Reassignment

Medicare enrollment records show Roderic Crist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Counseling Center
3.0 mi
Mental Health (Including Community Mental Health Center)
402 S SILVER SPRINGS RD
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 40 clinicians in this Medicare group
NPI 1235244757 (573) 334-1100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 10

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers17 claims17 services$96.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers22 claims42 services$36.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers21 claims55 services$21.16 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers12 claims31 services$15.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$53.95 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers22 claims22 services$17.70 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

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

LACROIX MEDICAL CENTER
Family Medicine
3095 LEXINGTON AVE, SUITE 200
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-0004

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 Roderic Crist's NPI number?

The NPI number for Roderic Crist is 1033180120. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Roderic Crist located?

Roderic Crist practices at 3095 Lexington Ave Suite 200, Cape Girardeau, MO 63701. The listed phone number is (573) 339-0004.

What is Roderic Crist's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roderic Crist enrolled in Medicare?

Yes. Roderic Crist is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roderic Crist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roderic Crist reassigns Medicare benefits to Community Counseling Center (Cape Girardeau, MO). The 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 Roderic Crist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roderic Crist was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.