DR. MICHAEL CRAIN MD
NPI 1265466064
Radiology - Diagnostic Radiology in Middletown, CT

Q: What is Michael Crain's NPI number?

The NPI number for Michael Crain is 1265466064. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Michael Crain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Michael Crain was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

98.17/100

CMS Quality Rating

28 CRESCENT ST, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457(860) 344-6293(860) 344-6071 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Michael Crain Md NPPES

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

DR. MICHAEL CRAIN MD (NPI 1265466064) is an individual diagnostic radiology provider in Middletown, Connecticut, licensed in Connecticut (028896) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1983).

NPPES Registry Identity

NPI1265466064

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. MICHAEL CRAINCredential: MD

Location Address28 CRESCENT ST, MIDDLESEX HOSPITALMiddletown, CT 06457-3654

Mailing Address57 S Main StMiddletown, CT 06457-3606 · (860) 346-8481 · Fax (860) 346-8836

Phone(860) 344-6293

Fax(860) 344-6071

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1983

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1265466064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CT · 028896

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

28 CRESCENT ST, Middletown, CT 06457

Open in Google Maps ↗

Other Identifiers 1

Medicaid004000378CT

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. Michael Crain 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 ID6507050168

PECOS Enrollment IDI20101119000009

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 Reassignments

Medicare enrollment records show Michael Crain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiologic Associates Of Middletown PC

0.1 mi

Diagnostic Radiology

57 S MAIN ST
Middletown, CT 06457

Reassigned Medicare billing, Connecticut enrollment
21 clinicians in this Medicare group

NPI 1124137328 (860) 346-8481

Guilford Radiology LLC

18 mi

Diagnostic Radiology

1591 BOSTON POST RD STE 106
Guilford, CT 06437

Reassigned Medicare billing, Connecticut enrollment
22 clinicians in this Medicare group

NPI 1760593347 (203) 453-5123

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 25

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.

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579

This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.

166 services11 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

72 services71 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

69 services64 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

57 services57 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

54 services54 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

54 services54 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

53 services53 patients

X-ray of chest, 2 views 71046

44 services43 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

37 services37 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

37 services37 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

36 services35 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

36 services36 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

25 services25 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

20 services20 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

20 services20 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

18 services18 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

16 services16 patients

Ct scan of chest without contrast 71250

14 services14 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

14 services14 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

14 services14 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

14 services14 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

13 services13 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

12 services12 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

11 services11 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

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.

98.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.17

Improvement Activities

Other Providers at the Same Location NPPES 20

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

THOMAS J. DANYLIW MD

Preventive Medicine (Occupational Medicine)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 344-6394

JEFFREY M BERNSTEIN MD

Emergency Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 344-6394

KUANG-WEN TSAO M.D.

Internal Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-4720

DR. BENJAMIN MICHIEL SIGAL MD

Emergency Medicine

28 CRESCENT ST, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-6886

TINA RITA BAFUMI M.D.

Pediatrics

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 347-9471

SAMUEL PACH

Hospitalist

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-8300

JOSEPH C SALA DO

Radiology (Diagnostic Radiology)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-6000

JEFFREY H. GOTTLIEB M.D.

Psychiatry & Neurology (Psychiatry)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 344-6760

DENA MILLER MD

Radiology (Diagnostic Radiology)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-6000

LISA OCHOLA-TINKER M.D.

Internal Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-5322

HOWARD W LABRECQUE LCSW

Social Worker (Clinical)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 344-6394

DANIELLE CHEVELLE HAGGLUND DO

Family Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-6000

TIA ROUNDS DO

Emergency Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-8016

ALEXANDRA ANNE CARLSON MD

Family Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-4798

MIDDLESEX LABORATORY PHYSICIANS, LLC

Pathology (Anatomic Pathology & Clinical Pathology)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-6160

DR. NATHAN COLLINS WALK M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

28 CRESCENT ST, MIDDLESEX HOSPITAL
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-6175

KEEGAN HACKMAN LMSW

Social Worker (Clinical)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-3423

KATELYNN MARIE BENTO

Nurse Practitioner (Psychiatric/Mental Health)

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 301-3981

DR. LINDA LEE GODFREY DO

Family Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 358-4720

DR. SCOTT WILLIAM JOLIN M.D.

Emergency Medicine

28 CRESCENT ST
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 344-6000

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 Michael Crain's NPI number?

The NPI number for Michael Crain is 1265466064. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Michael Crain located?

Michael Crain practices at 28 Crescent St Middlesex Hospital, Middletown, CT 06457. The listed phone number is (860) 344-6293.

What is Michael Crain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Crain enrolled in Medicare?

Yes. Michael Crain 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 organizations bill Medicare for Michael Crain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Crain reassigns Medicare benefits to 2 organizations: Radiologic Associates Of Middletown PC (Middletown, CT) and Guilford Radiology LLC (Guilford, CT). Each 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 Michael Crain'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 Michael Crain was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.