KEITH ROBERT CRANDALL DPM
NPI 1104125780
Podiatrist - Foot & Ankle Surgery in Tyler, TX

Q: What is Keith Crandall's NPI number?

The NPI number for Keith Crandall is 1104125780. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Q: What is Keith Crandall's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Keith Crandall was last updated on July 5, 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.

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

1605 STAFFORD DR, TYLER, TX 75703(903) 941-9247(888) 503-2519 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2022, Dec 16, 2020 (2 updates tracked since 2020).

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About Keith Robert Crandall Dpm NPPES

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

KEITH ROBERT CRANDALL DPM (NPI 1104125780) is an individual foot & ankle surgery provider in Tyler, Texas, licensed in Texas (2066) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1104125780

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameKEITH ROBERT CRANDALLCredential: DPM

Location Address1605 STAFFORD DRTyler, TX 75703-0839

Mailing Address1605 Stafford DrTyler, TX 75703-0839 · (903) 941-9247 · Fax (888) 503-2519

Phone(903) 941-9247

Fax(888) 503-2519

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2010

Enumeration DateMarch 21, 2011

Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration

NPPES CertifiedJuly 5, 2022

✔ NPI 1104125780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in TX · 2066✔ Licensed in OH · BN6420119-057356

1605 STAFFORD DR, Tyler, TX 75703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Keith Robert Crandall Dpm 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 ID9032352661

PECOS Enrollment IDI20130830000163

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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

5,387 services2,378 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

862 services603 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A 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.

607 services607 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

581 services509 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

288 services265 patients

Removal of fingernails or toenails, 6 or more nails 11721

255 services112 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

219 services135 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

147 services147 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

94 services94 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

53 services44 patients

Removal of noncancer thickened skin growth, 1 growth 11055

37 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

33 services32 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

30 services26 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

18 services17 patients

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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 Keith Crandall's NPI number?

The NPI number for Keith Crandall is 1104125780. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Keith Crandall located?

Keith Crandall practices at 1605 Stafford Dr, Tyler, TX 75703. The listed phone number is (903) 941-9247.

What is Keith Crandall's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Keith Crandall enrolled in Medicare?

Yes. Keith Crandall 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 Keith Crandall accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Keith Crandall 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.

When was this NPI record last updated?

The NPPES record for Keith Crandall was last updated on July 5, 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.