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JARED CRUTCHER DMD
NPI 1144898529
Dentist - General Practice in Quincy, IL

Active since June 14, 2021Opted out of Medicare · through Jan 17, 2027
3740 E LAKE CTR, QUINCY, IL 62305(217) 214-4545 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Crutcher Dmd NPPES

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

JARED CRUTCHER DMD (NPI 1144898529) is an individual general practice provider in Quincy, Illinois, licensed in Illinois (019.033129) and active in the NPI registry since June 2021. He has opted out of Medicare through January 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144898529
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJARED CRUTCHERCredential: DMD
Location Address3740 E LAKE CTRQuincy, IL 62305-5805
Mailing Address1031 Kentucky StQuincy, IL 62301-4211 · (618) 402-8890
Phone(217) 214-4545
Sole ProprietorYes
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1144898529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.033129
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3740 E LAKE CTR, Quincy, IL 62305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jared Crutcher Dmd 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 January 17, 2023 through January 17, 2027.

Opt-Out Effective DateJanuary 17, 2023
Opt-Out In Effect ThroughJanuary 17, 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 62305 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 5

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

MIDWEST FOOT AND ANKLE SPECIALISTS PC
Podiatrist (Foot & Ankle Surgery)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 223-3668
DR. JANET ELAINE MARTIN DMD
Dentist (General Practice)
3740 E LAKE CTR, SUITE B
QUINCY, IL 62305
Adams County (217) 214-4545
SARA RODEFFER D.M.D
Dentist (General Practice)
3740 E LAKE CTR, SUITE B
QUINCY, IL 62305
Adams County (217) 214-4545
MIDWEST ORTHOPEDIC SPECIALISTS INC
Chiropractor (Orthopedic)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 228-9422
DR. COLETTA M MILLER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 224-6789

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 Jared Crutcher's NPI number?

The NPI number for Jared Crutcher is 1144898529. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Jared Crutcher located?

Jared Crutcher practices at 3740 E Lake Ctr, Quincy, IL 62305. The listed phone number is (217) 214-4545.

What is Jared Crutcher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jared Crutcher enrolled in Medicare?

No. Jared Crutcher has opted out of Medicare through January 17, 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 Jared Crutcher was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.