DR. GRACE CRITTENDEN MD
NPI 1053343764
Internal Medicine in San Luis Obispo, CA

NPI Status: Active since July 06, 2006

Contact Information

1250 PEACH ST STE B
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-4043

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Internal Medicine
PECOS Enrolled

About GRACE CRITTENDEN

This page provides the complete NPI Profile along with additional information for Grace Crittenden, an internist established in San Luis Obispo, California with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1053343764 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number G65487 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1053343764
Provider Name: DR. GRACE CRITTENDEN MD
Gender: Female
Entity Type: Individual
Location Address: 1250 PEACH ST STE B SAN LUIS OBISPO, CA 93401
Location Phone: (805) 543-4043
Mailing Address: 1400 E. CHURCH STREET ATTENTION: MEDICAL STAFF OFFICE SANTA MARIA, CA 93454
Mailing Phone: (805) 739-3954
Is Sole Proprietor?: No
Enumeration Date: 07-06-2006
Last Update Date: 05-14-2019
Code Navigator

An internist like Grace Crittenden is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

100 Casa Street Suite B
San Luis Obispo, CA 93405
(805) 242-0614
100 Casa Street Suite B
San Luis Obispo, CA 93405
(805) 242-0614

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: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
License No.: G65487
License State: CA
Taxonomy Description: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
CB234888	OTHER (01)	CA	MEDICARE ID

Medicare Participation & PECOS Enrollment Status

Grace Crittenden 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

Physician 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 93401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $135.73
Minimum New Patient Price $59.84
Maximum New Patient Price $178.89

Average New Patient Copayment $33.93
Minimum New Patient Copayment $14.96
Maximum New Patient Copayment $44.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $104.82
Minimum Established Patient Price $19.7
Maximum Established Patient Price $146.55

Average Established Patient Copayment $26.2
Minimum Established Patient Copayment $4.92
Maximum Established Patient Copayment $36.63

* 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	5	3	3	4	3	7	6	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	10	3	6	4	6	7	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 6 + 4 + 6 + 7 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1053343764 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

PACIFIC CENTRAL COAST HEALTH CENTERS

Clinic/Center

(Community Health)