DR. RICHARD ERIC CRUM M.D.
NPI 1164456570
Internal Medicine - Interventional Cardiology in Montgomery, AL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
78.94/100
CMS Quality Rating
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117(334) 280-1500(334) 280-1600 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 22, 2020, Oct 3, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Richard Eric Crum M.d. NPPES

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

DR. RICHARD ERIC CRUM M.D. (NPI 1164456570) is an individual interventional cardiology provider in Montgomery, Alabama, licensed in Alabama (13372) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1986).

NPPES Registry Identity

NPI1164456570
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. RICHARD ERIC CRUMCredential: M.D.
Location Address273 WINTON M BLOUNT LOOPMontgomery, AL 36117-3507
Mailing AddressPo Box 241587Montgomery, AL 36124-1587 · (334) 280-1500 · Fax (334) 280-1600
Fax(334) 280-1600
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1986
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2020
NPI 1164456570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AL · 13372
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 13372 (AL)
273 WINTON M BLOUNT LOOP, Montgomery, AL 36117

Other Identifiers 6

Other051006982AL · Blue Shield Provider #
Other051089507AL · Blue Shield Provider #
Other051544338AL · Blue Shield Provider #
Other13372AL · Medical License
Other051006851AL · Blue Shield Provider #
Medicaid89507AL

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 and accepts Medicare assignment

Dr. Richard Eric Crum M.d. 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 ID1951317270
PECOS Enrollment IDI20110920000199
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 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
382 services369 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
235 services230 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
225 services224 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.
203 services201 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
150 services109 patients
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.
141 services139 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

78.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.72
Promoting Interoperability99
Improvement Activities40
Cost66.92

Reported Quality Measures

Advance Care Plan
93%2,023 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
54%136 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
56%1,616 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
76%1,081 patients3/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
80%83 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
87%541 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%3,025 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
19%1,663 patients1/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
83%30 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
89%28 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%2,361 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%551 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,311 patients
Patients screened: 98% · 1,311 patients
68%128 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 47% · 187 patients
47%187 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%1,842 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,729 patients
Patients totalRate: 0% · 1,729 patients
0%1,729 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Clinical Cardiac Electrophysiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Interventional Cardiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Interventional Cardiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Physician Assistant (Surgical)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Clinical Cardiac Electrophysiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117

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 Richard Crum's NPI number?

The NPI number for Richard Crum is 1164456570. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Richard Crum located?

Richard Crum practices at 273 Winton M Blount Loop, Montgomery, AL 36117. The listed phone number is (334) 280-1500.

What is Richard Crum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Richard Crum enrolled in Medicare?

Yes. Richard Crum 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 Richard Crum accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Richard Crum 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 Richard Crum was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.