DR. EDWIN ERNEST CROUCHER III D.C.
NPI 1194250787
Chiropractor in Baldwinsville, NY

Active since April 21, 2017Accepts Medicare Assignment
136 E GENESEE ST, BALDWINSVILLE, NY 13027(315) 635-2333 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edwin Ernest Croucher Iii D.c. NPPES

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

DR. EDWIN ERNEST CROUCHER III D.C. (NPI 1194250787) is an individual chiropractor in Baldwinsville, New York, licensed in New York (012945) and active in the NPI registry since April 2017. He is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1194250787
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. EDWIN ERNEST CROUCHER IIICredential: D.C.
Location Address136 E GENESEE STBaldwinsville, NY 13027-2720
Mailing Address136 E Genesee StBaldwinsville, NY 13027-2720 · (315) 635-2333
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2017
Enumeration DateApril 21, 2017
✔ NPI 1194250787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 012945
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
136 E GENESEE ST, Baldwinsville, NY 13027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edwin Ernest Croucher Iii D.c. 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 ID143507871
PECOS Enrollment IDI20170508000896

Medicare Billing Reassignment

Medicare enrollment records show Edwin Croucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
138 E. GENESEE STREET
Baldwinsville, NY 13027
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
115 services13 patients

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 Edwin Croucher's NPI number?

The NPI number for Edwin Croucher is 1194250787. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Edwin Croucher located?

Edwin Croucher practices at 136 E Genesee St, Baldwinsville, NY 13027. The listed phone number is (315) 635-2333.

What is Edwin Croucher's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Edwin Croucher enrolled in Medicare?

Yes. Edwin Croucher 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.

Which organization bills Medicare for Edwin Croucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Croucher reassigns Medicare benefits to Upstate Chiropractic, PC (Baldwinsville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Croucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edwin Croucher was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.