SAMUEL CRIST MD
NPI 1053872572
Emergency Medicine in Ft Worth, TX
About Samuel Crist Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL CRIST MD (NPI 1053872572) is an individual emergency medicine provider in Ft Worth, Texas, licensed in New Mexico (MD2022-1080) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Crist Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Crist reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clovis, NM 88101
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Grants, NM 87020
- Reassigned Medicare billing, New Mexico enrollment
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Samuel Crist's NPI number?
The NPI number for Samuel Crist is 1053872572. It was assigned to this individual provider in the NPPES registry on March 27, 2019.
Where is Samuel Crist located?
Samuel Crist practices at 1500 S Main St, Ft Worth, TX 76104. The listed phone number is (817) 702-8840.
What is Samuel Crist's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Crist enrolled in Medicare?
Yes. Samuel Crist is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Crist's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Crist reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Clovis, NM) and Fedko Emergency Physicians New Mexico LLC (Grants, NM). 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 Samuel 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 Samuel Crist was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samuel Crist, MD · NPI 1053872572
Emergency Medicine physician in Ft Worth, Texas. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1053872572 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD2022-1080 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 S MAIN ST, Ft Worth, TX 76104-4917
- **Phone:** (817) 702-8840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Presbyterian Healthcare Services (NPI 1629053509, Clovis, NM); Fedko Emergency Physicians New Mexico LLC (NPI 1770047441, Grants, NM) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053872572) · Data from the CMS NPPES public registry.