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DR. PETER D CROMPTON MD
NPI 1235120015
Internal Medicine - Pulmonary Disease in Rockville, MD

Active since November 02, 2005PECOS Enrolled
89.25/100
CMS Quality Rating
12441 PARKLAWN DR, ROCKVILLE, MD 20852(240) 481-7147(240) 453-5702 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2023, Sep 28, 2021 (2 updates tracked since 2021).

About Dr. Peter D Crompton Md NPPES

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

DR. PETER D CROMPTON MD (NPI 1235120015) is an individual pulmonary disease provider in Rockville, Maryland, licensed in Maryland (D062843) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235120015
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PETER D CROMPTONCredential: MD
Location Address12441 PARKLAWN DRRockville, MD 20852-1742
Mailing Address2541 Little Vista TerOlney, MD 20832-1568 · (240) 481-7147
Phone(240) 481-7147
Fax(240) 453-5702
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1235120015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D062843
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License D062843 (MD)
12441 PARKLAWN DR, Rockville, MD 20852
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter D Crompton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

University Of Maryland St. Joseph Medical Group, LLC
35 mi
General Practice
7505 OSLER DR SUITE 402
Towson, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • 501 clinicians in this Medicare group
NPI 1770836785 (410) 427-5330

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

89.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.87
Promoting Interoperability100
Improvement Activities40
Cost77.3

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 Peter Crompton's NPI number?

The NPI number for Peter Crompton is 1235120015. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Peter Crompton located?

Peter Crompton practices at 12441 Parklawn Dr, Rockville, MD 20852. The listed phone number is (240) 481-7147.

What is Peter Crompton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Peter Crompton enrolled in Medicare?

Yes. Peter Crompton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Crompton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Crompton reassigns Medicare benefits to University Of Maryland St. Joseph Medical Group, LLC (Towson, MD). 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 Peter Crompton'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 Peter Crompton was last updated on May 10, 2023. 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.