LADDIE MOORE CRISP III MD
NPI 1184114175
Family Medicine in Boone, NC
About Laddie Moore Crisp Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LADDIE MOORE CRISP III MD (NPI 1184114175) is an individual family medicine provider in Boone, North Carolina, licensed in North Carolina (202504262) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Laddie Moore Crisp Iii 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Watauga Medical Center
Acute Care Hospitals · Boone, NCCharles A Cannon Jr Memorial Hospital
Critical Access Hospitals · Linville, NCWellmont Bristol Regional Medical Center
Acute Care Hospitals · Bristol, TNSmyth County Community Hospital
Acute Care Hospitals · Marion, VAJohnston Memorial Hospital
Acute Care Hospitals · Abingdon, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Laddie Crisp's NPI number?
The NPI number for Laddie Crisp is 1184114175. It was assigned to this individual provider in the NPPES registry on May 15, 2018.
Where is Laddie Crisp located?
Laddie Crisp practices at 148 Nc-105 Extension Ste102, Boone, NC 28607. The listed phone number is (828) 386-2222.
What is Laddie Crisp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Laddie Crisp enrolled in Medicare?
Yes. Laddie Crisp 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.
Is Laddie Crisp affiliated with any hospitals?
According to CMS data, Laddie Crisp is affiliated with Watauga Medical Center, Charles A Cannon Jr Memorial Hospital, Wellmont Bristol Regional Medical Center, Smyth County Community Hospital and Johnston Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Laddie Crisp was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Laddie Moore Crisp III, MD · NPI 1184114175
Family Medicine physician in Boone, North Carolina. Individual provider, active in the CMS NPPES registry since May 15, 2018.
## Identity
- **NPI:** 1184114175 (Entity type: Individual)
- **Enumerated:** May 15, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 202504262 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 148 NC-105 EXTENSION STE102, Boone, NC 28607
- **Phone:** (828) 386-2222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184114175) · Data from the CMS NPPES public registry.