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DR. RICHARD SWAIN CRAWFORD MD
NPI 1164528261
Internal Medicine - Endocrinology, Diabetes & Metabolism in Sioux Falls, SD

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1315 S. CLIFF AVE., STE. 3000, SIOUX FALLS, SD 57105(605) 322-7600(605) 322-7601 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Swain Crawford Md NPPES

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

DR. RICHARD SWAIN CRAWFORD MD (NPI 1164528261) is an individual endocrinology, diabetes & metabolism provider in Sioux Falls, South Dakota, licensed in South Dakota (8339) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Sioux Center Health, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1991).

NPPES Registry Identity

NPI1164528261
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. RICHARD SWAIN CRAWFORDCredential: MD
Location Address1315 S. CLIFF AVE., STE. 3000Sioux Falls, SD 57105-1061
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-7600
Fax(605) 322-7601
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1991
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 11, 2018
✔ NPI 1164528261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in SD · 8339✔ Licensed in IL · 036097995
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1315 S. CLIFF AVE., Sioux Falls, SD 57105
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Other Identifiers 2

Medicaid6007270SD
Medicaid036097995IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Swain 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 ID749469815
PECOS Enrollment IDI20120727000516
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 8

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.
373 services299 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.
263 services243 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
152 services104 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
106 services92 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.
28 services19 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.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera St Benedict Health Center - Cah

Critical Access Hospitals · Parkston, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431330
Location401 West Glynn DriveParkston, SD 57366 · Hutchinson County

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers66 claims821 services$18.52 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers63 claims2,047 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers21 claims21 services$172.81 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
58 suppliers347 claims1,029 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers74 claims97 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers37 claims37 services$313.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. JEFFERY L STEERS MD
Transplant Surgery
1315 S. CLIFF AVE., STE. 1100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7350
ASHLEY J VAN HILL
Nurse Practitioner (Family)
1315 S. CLIFF AVE., STE. 1100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7350
ALI NAJI AL-HAJJAJ MD
Transplant Surgery
1315 S. CLIFF AVE., STE. 1100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7350
REBEKKA KLEMME CNP
Nurse Practitioner (Family)
1315 S. CLIFF AVE., STE. 1100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7350
KRISTINE LYNN HOUSELOG CNP
Nurse Practitioner (Family)
1315 S. CLIFF AVE., STE. 1200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8535
RAQUEL DE LEON ANEL-TIANGCO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1315 S. CLIFF AVE., STE. 3000
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7600

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 Crawford's NPI number?

The NPI number for Richard Crawford is 1164528261. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Richard Crawford located?

Richard Crawford practices at 1315 S. Cliff Ave. Ste. 3000, Sioux Falls, SD 57105. The listed phone number is (605) 322-7600.

What is Richard Crawford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Richard Crawford enrolled in Medicare?

Yes. Richard 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 Richard Crawford accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Richard 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 Richard Crawford affiliated with any hospitals?

According to CMS data, Richard Crawford is affiliated with Sioux Center Health, Avera St Lukes, Avera Mckennan Hospital & University Health Center, Avera St Benedict Health Center - Cah and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Richard Crawford was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.