DR. CHARLES HOPKINS CRAWFORD III MD
NPI 1265570808
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Louisville, KY

Q: What is Charles Crawford's NPI number?

The NPI number for Charles Crawford is 1265570808. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Q: What is Charles Crawford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Charles Crawford was last updated on May 6, 2024. 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 February 04, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

210 E GRAY ST, SUITE 900, LOUISVILLE, KY 40202(502) 584-8002(502) 589-0849 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2024, Feb 15, 2017, Jan 13, 2016 (3 updates tracked since 2016).

On this page

About Dr. Charles Hopkins Crawford Iii Md NPPES

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

DR. CHARLES HOPKINS CRAWFORD III MD (NPI 1265570808) is an individual orthopaedic surgery of the spine provider in Louisville, Kentucky, licensed in Kentucky (43066) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1265570808

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. CHARLES HOPKINS CRAWFORD IIICredential: MD

Location Address210 E GRAY ST, SUITE 900Louisville, KY 40202-3900

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 584-8002

Fax(502) 589-0849

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003

Enumeration DateFebruary 4, 2007

Last NPPES UpdateMay 6, 20243 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1265570808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Licenses✔ Licensed in KY · 43066✔ Licensed in MO · 2008004916✔ Licensed in KY · R0688✔ Licensed in KY · TP699

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

210 E GRAY ST, Louisville, KY 40202

Open in Google Maps ↗

Other Identifiers 8

Other000000628568Nls/anthem

Other7157066Nlsc/cigna

Other50026895Nlsc/php

Other3754853000Nlsc/pad

Other000051983KNlsc/humana

Other109190Nlsc/siho

Medicaid7100238200KY

Medicaid200951090IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Charles Hopkins Crawford 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 ID2567518814

PECOS Enrollment IDI20090929000065, I20200625002874

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 Charles Crawford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Associates, Inc.

1.7 mi

Family Medicine

720 W HILL ST
Louisville, KY 40208

Reassigned Medicare billing, Kentucky and Indiana enrollments
Also billed through NPI 1386904647 (Indiana)
1,896 clinicians in this Medicare group

NPI 1245312503 (502) 636-3164

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 17

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 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.

211 services165 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

202 services143 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

111 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

99 services87 patients

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.

75 services67 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

70 services54 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

64 services40 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

48 services47 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

30 services29 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

28 services20 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.

26 services26 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

25 services25 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

17 services17 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

16 services16 patients

Fusion of sacroiliac joint between spine and pelvis with bone graft, open procedure 27280

This procedure involves fusing the sacroiliac joint, which connects the spine to the hip bones, to alleviate pain. An incision is made to access the joint, and a bone graft, or transplanted bone, is used to stimulate fusion. This is an open surgery.

16 services15 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

14 services14 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150069

Location1373 East Sr 62Madison, IN 47250 · Jefferson County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson 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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$28.24 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 20

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

UNIVERSITY OF LOUISIVLLE PHYSICIANS

Pediatrics (Pediatric Infectious Diseases)

210 E GRAY ST, SUITE 802
LOUISVILLE, KY 40202

Jefferson County (502) 852-7733

CYNA KHALILY MD

Orthopaedic Surgery

210 E GRAY ST, SUITE 604
LOUISVILLE, KY 40202

Jefferson County (502) 629-5633

KENTUCKY NEURO ASSOCIATES

Neurological Surgery

210 E GRAY ST, SUITE 1106
LOUISVILLE, KY 40202

Jefferson County (502) 583-1697

JENNA RAYE MONTANO APRN

Nurse Practitioner (Acute Care)

210 E GRAY ST
LOUISVILLE, KY 40202

Jefferson County (502) 559-3636

JEFFREY HOWARD FRANK MD

Psychiatry & Neurology (Neurology)

210 E GRAY ST, SUITE 1003
LOUISVILLE, KY 40202

Jefferson County (502) 629-2602

UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.

Pediatrics (Pediatric Hematology-Oncology)

210 E GRAY ST, SUITE 601A
LOUISVILLE, KY 40202

Jefferson County (502) 588-3600

NEUROSURGICAL INSTITUTE OF KENTUCKY

Neurological Surgery

210 E GRAY ST, SUITE 1105
LOUISVILLE, KY 40202

Jefferson County (502) 583-1697

COMMONWEALTH CARDIOLOGISTS PSC

Internal Medicine (Cardiovascular Disease)

210 E GRAY ST, SUITE 1002
LOUISVILLE, KY 40202

Jefferson County (502) 584-2029

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 Charles Crawford's NPI number?

The NPI number for Charles Crawford is 1265570808. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Charles Crawford located?

Charles Crawford practices at 210 E Gray St Suite 900, Louisville, KY 40202. The listed phone number is (502) 584-8002.

What is Charles Crawford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Charles Crawford enrolled in Medicare?

Yes. Charles 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.

Which organization bills Medicare for Charles Crawford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Crawford reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). 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 Charles Crawford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Crawford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Charles 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 Charles Crawford affiliated with any hospitals?

According to CMS data, Charles Crawford is affiliated with Clark Memorial Hospital, Norton-King's Daughters' Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Charles Crawford was last updated on May 6, 2024. 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.