RICHARD W CRAWFORD DMD
NPI 1174629794
Dentist - Oral and Maxillofacial Surgery in South Portland, ME

Active since September 15, 2006Opted out of Medicare · through Jul 1, 2027
440 WESTERN AVE, SOUTH PORTLAND, ME 04106(207) 774-2611(207) 774-2613 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard W Crawford Dmd NPPES

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

RICHARD W CRAWFORD DMD (NPI 1174629794) is an individual oral and maxillofacial surgery provider in South Portland, Maine, licensed in Maine (3428) and active in the NPI registry since September 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174629794
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRICHARD W CRAWFORDCredential: DMD
Location Address440 WESTERN AVESouth Portland, ME 04106
Mailing Address440 Western AveSouth Portland, ME 04106 · (207) 774-2611 · Fax (207) 774-2613
Fax(207) 774-2613
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJune 12, 2009
NPI 1174629794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in ME · 3428
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
440 WESTERN AVE, South Portland, ME 04106

Other Identifiers 4

Medicare PINMM4854ME
Medicaid304020099ME
Medicare PINMM485401ME
Medicare UPINU41690

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Richard W Crawford 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 July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 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 04106 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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 10

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

Dentist (Prosthodontics)
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist (Prosthodontics)
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist (Oral and Maxillofacial Surgery)
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist (Oral and Maxillofacial Surgery)
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist (Orthodontics and Dentofacial Orthopedics)
440 WESTERN AVE
SOUTH PORTLAND, ME 04106
Dentist (Prosthodontics)
440 WESTERN AVE
SOUTH PORTLAND, ME 04106

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 1174629794. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Richard Crawford located?

Richard Crawford practices at 440 Western Ave, South Portland, ME 04106. The listed phone number is (207) 774-2611.

What is Richard Crawford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Crawford enrolled in Medicare?

No. Richard Crawford has opted out of Medicare through July 1, 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 Richard Crawford was last updated on June 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.