LADDIE CRISP III MD
NPI 1184114175
Hospitalist in Bristol, TN

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PARK BLVD STE 255W, BRISTOL, TN 37620(276) 378-2026 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, May 15, 2018 (2 updates tracked since 2018).

About Laddie Crisp Iii Md NPPES

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

LADDIE CRISP III MD (NPI 1184114175) is an individual hospitalist provider in Bristol, Tennessee, licensed in Tennessee (63278) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184114175
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameLADDIE CRISP IIICredential: MD
Location Address1 MEDICAL PARK BLVD STE 255WBristol, TN 37620-7430
Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 302-6567 · Fax (208) 375-2217
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1184114175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TN · 63278 Licensed in VA · 0101272131
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MRM-1726 (ID)
1 MEDICAL PARK BLVD STE 255W, Bristol, TN 37620

Secondary Practice Locations 2

Location 1777 N Raymond StBoise, ID 83704-9251 · Phone (208) 514-2500 · Fax (208) 375-2217
Location 216000 Johnston Memorial Dr Fl 4Abingdon, VA 24211-7664 · Phone (276) 258-4050

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 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.

PECOS PAC ID4789932203
PECOS Enrollment IDI20210728001817, I20211022000384, I20260526001057
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 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.

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.
457 services178 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
161 services153 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services65 patients

Hospital Affiliations CMS Care Compare 4

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490002
Location58 Carroll StreetLebanon, VA 24266 · Russell County
Emergency services

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims23 services$16.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$84.15 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 2

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

Nurse Practitioner (Family)
1 MEDICAL PARK BLVD STE 255W
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD STE 255W
BRISTOL, TN 37620

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 1 Medical Park Blvd Ste 255W, Bristol, TN 37620. The listed phone number is (276) 378-2026.

What is Laddie Crisp's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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 Wellmont Bristol Regional Medical Center, Russell County Hospital, 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 28, 2022. 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.