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MR. JAMES LEE CRAWFORD MD
NPI 1124318332
Surgery in Cherry Hill, NJ

Active since April 10, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
401 KINGS HWY S STE 5, CHERRY HILL, NJ 08034(856) 428-8992(856) 428-9614 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, May 13, 2022, Oct 16, 2020 and 2 more (5 updates tracked since 2016).

About Mr. James Lee Crawford Md NPPES

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

MR. JAMES LEE CRAWFORD MD (NPI 1124318332) is an individual surgery provider in Cherry Hill, New Jersey, licensed in New Jersey (25MA10126500) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Moorestown.

NPPES Registry Identity

NPI1124318332
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JAMES LEE CRAWFORDCredential: MD
Location Address401 KINGS HWY S STE 5Cherry Hill, NJ 08034-2500
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(856) 428-8992
Fax(856) 428-9614
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2011
Enumeration DateApril 10, 2011
Last NPPES UpdateAugust 23, 20245 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1124318332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NJ · 25MA10126500✔ Licensed in PA · MD454192
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
401 KINGS HWY S STE 5, Cherry Hill, NJ 08034
Open in Google Maps ↗

Secondary Practice Location 1

Location 1401 Young Ave Ste 375AMoorestown, NJ 08057-3130 · Phone (856) 291-8920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Mr. James Lee Crawford Md 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 ID5294967469
PECOS Enrollment IDI20170927000756
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services30 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
20 services19 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08034 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT FLEYSHMAN M.D.
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
RICHARD L SPECTER M.D.
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
DR. DANIEL RA D.O.
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
BRIJESH S. BODIWALA D.O.
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
JOHN T SCHWIKA DO
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
ABBAS RAZA D.O
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
SYED SHAYAN AHMED HASNI MD
Internal Medicine (Nephrology)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992
NINFA RECINTO
Nurse Practitioner (Acute Care)
401 KINGS HWY S STE 5
CHERRY HILL, NJ 08034
Camden County (856) 428-8992

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 James Crawford's NPI number?

The NPI number for James Crawford is 1124318332. It was assigned to this individual provider in the NPPES registry on April 10, 2011.

Where is James Crawford located?

James Crawford practices at 401 Kings Hwy S Ste 5, Cherry Hill, NJ 08034. The listed phone number is (856) 428-8992.

What is James Crawford's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Crawford enrolled in Medicare?

Yes. James Crawford 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 James Crawford accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Crawford 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.

Is James Crawford affiliated with any hospitals?

According to CMS data, James Crawford is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for James Crawford was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.