DR. WILLIAM L CROUCH IV MD
NPI 1104878016
Family Medicine in North Port, FL

Q: What is William Crouch's NPI number?

The NPI number for William Crouch is 1104878016. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is William Crouch's specialty?

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

Q: Is William Crouch enrolled in Medicare?

No. William Crouch has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for William Crouch was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 17, 2006Opted out of Medicare · through Apr 1, 2027

2630 BOBCAT VILLAGE CENTER ROAD, NORTH PORT, FL 34288(941) 423-9936(941) 426-9794 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. William L Crouch Iv Md NPPES

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

DR. WILLIAM L CROUCH IV MD (NPI 1104878016) is an individual family medicine provider in North Port, Florida, licensed in Florida (ME77617) and active in the NPI registry since May 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104878016

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WILLIAM L CROUCH IVCredential: MD

Location Address2630 BOBCAT VILLAGE CENTER ROADNorth Port, FL 34288

Mailing Address2630 Bobcat Village Center RoadNorth Port, FL 34288 · (941) 423-9936 · Fax (941) 426-9794

Phone(941) 423-9936

Fax(941) 426-9794

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 13, 2007

✔ NPI 1104878016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME77617

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.

2630 BOBCAT VILLAGE CENTER ROAD, North Port, FL 34288

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Other Identifiers 2

Medicare ID-Type Unspecified1511204KY

Medicare UPINH17794KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William L Crouch Iv Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34288 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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 William Crouch's NPI number?

The NPI number for William Crouch is 1104878016. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is William Crouch located?

William Crouch practices at 2630 Bobcat Village Center Road, North Port, FL 34288. The listed phone number is (941) 423-9936.

What is William Crouch's specialty?

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

Is William Crouch enrolled in Medicare?

No. William Crouch has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Crouch was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.