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DR. JAMES VINCENT CRAWFORD MD
NPI 1215904966
Otolaryngology - Otology & Neurotology in Meridian, ID

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
1209 N SUMMERBROOK AVE STE 100, MERIDIAN, ID 83642(208) 938-5823(208) 938-5306 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 19, 2022, Dec 29, 2020, Aug 12, 2019 (3 updates tracked since 2019).

About Dr. James Vincent Crawford Md NPPES

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

DR. JAMES VINCENT CRAWFORD MD (NPI 1215904966) is an individual otology & neurotology provider in Meridian, Idaho, licensed in Washington (MD00046055) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1215904966
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. JAMES VINCENT CRAWFORDCredential: MD
Location Address1209 N SUMMERBROOK AVE STE 100Meridian, ID 83642-8750
Mailing Address1209 N Summerbrook Ave Ste 100Meridian, ID 83642-8750 · (208) 938-5823 · Fax (208) 938-5306
Phone(208) 938-5823
Fax(208) 938-5306
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1998
Enumeration DateMarch 1, 2006
Last NPPES UpdateMay 19, 20223 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1215904966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in WA · MD00046055
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
1209 N SUMMERBROOK AVE STE 100, Meridian, ID 83642
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Madigan Army Medical Ctr, 9040A Jackson AveTacoma, WA 98431-0001 · Phone (253) 968-1430

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.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. James Vincent 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 ID3779585385
PECOS Enrollment IDI20180821003659
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 7

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 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.
158 services115 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
75 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 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.
31 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services24 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

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.

WESLEY J ROWLETTE PA-C
Physician Assistant
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642
Ada County (208) 938-5823
CORA BAILEY CALL
Audiologist
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642
Ada County (208) 938-5823
DR. ERIC PETER WILKINSON MD
Otolaryngology
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642
Ada County (208) 938-5823
AUDRA MARTIN
Audiologist
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642
Ada County (208) 938-5823
JAMES V. CRAWFORD, MD LLC
Otolaryngology (Otology & Neurotology)
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642
Ada County (208) 938-5823
ADAM REYES AUD
Audiologist
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642
Ada County (208) 938-5823

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 James Crawford's NPI number?

The NPI number for James Crawford is 1215904966. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is James Crawford located?

James Crawford practices at 1209 N Summerbrook Ave Ste 100, Meridian, ID 83642. The listed phone number is (208) 938-5823.

What is James Crawford's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is James Crawford enrolled in Medicare?

Yes. James 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 James Crawford accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list James 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 James Crawford affiliated with any hospitals?

According to CMS data, James Crawford is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Crawford was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.