CRYSTAL A. DE WIT DO
NPI 1114980406
Anesthesiology - Pain Medicine in Bridgeport, WV

Active since April 09, 2006PECOS Enrolled
78.65/100
CMS Quality Rating
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330(681) 342-3600 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2025, May 2, 2023, Jan 7, 2021 and 2 more (5 updates tracked since 2019).

About Crystal A. De Wit Do NPPES

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

CRYSTAL A. DE WIT DO (NPI 1114980406) is an individual pain medicine provider in Bridgeport, West Virginia, licensed in West Virginia (3780) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114980406
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameCRYSTAL A. DE WITCredential: DO
Location Address527 MEDICAL PARK DR STE 500Bridgeport, WV 26330-9010
Mailing Address12 Ashbury LnFairmont, WV 26554-3473 · (412) 303-0494 · Fax (412) 487-2555
Sole ProprietorNo
Enumeration DateApril 9, 2006
Last NPPES UpdateFebruary 26, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1114980406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in WV · 3780
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 3780 (WV)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 3780 (WV)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 3780 (WV)
527 MEDICAL PARK DR STE 500, Bridgeport, WV 26330

Secondary Practice Locations 4

Location 112 Ashbury LnFairmont, WV 26554-3473 · Phone (412) 303-0494 · Fax (412) 487-2555
Location 2140 Middletown RoadWhitehall, WV 26554 · Phone (304) 333-1150
Location 3150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-1400
Location 4230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-8000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Crystal A. De Wit Do 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 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.

78.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.88
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Hospitalist
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Nurse Practitioner (Family)
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330

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 Crystal De Wit's NPI number?

The NPI number for Crystal De Wit is 1114980406. It was assigned to this individual provider in the NPPES registry on April 9, 2006.

Where is Crystal De Wit located?

Crystal De Wit practices at 527 Medical Park Dr Ste 500, Bridgeport, WV 26330. The listed phone number is (681) 342-3600.

What is Crystal De Wit's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Crystal De Wit enrolled in Medicare?

Yes. Crystal De Wit is registered in the Medicare PECOS enrollment system.

What insurance does Crystal De Wit accept?

Health plans from CareSource list Crystal De Wit 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 Crystal De Wit was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.