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

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: August 09, 2026.

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

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
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

Other Identifiers 8

Other000000628568Nls/anthem
Other7157066Nlsc/cigna
Other50026895Nlsc/php
Other3754853000Nlsc/pad
Other000051983KNlsc/humana
Other109190Nlsc/siho
Medicaid7100238200KY
Medicaid200951090IN

Accepted 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. 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.

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

Hospital Affiliations CMS Care Compare 4

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess 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 Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Infectious Diseases)
210 E GRAY ST, SUITE 802
LOUISVILLE, KY 40202
Orthopaedic Surgery
210 E GRAY ST, SUITE 604
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST, SUITE 1106
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
210 E GRAY ST
LOUISVILLE, KY 40202
Psychiatry & Neurology (Neurology)
210 E GRAY ST, SUITE 1003
LOUISVILLE, KY 40202
Pediatrics (Pediatric Hematology-Oncology)
210 E GRAY ST, SUITE 601A
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST, SUITE 1105
LOUISVILLE, KY 40202
Internal Medicine (Cardiovascular Disease)
210 E GRAY ST, SUITE 1002
LOUISVILLE, KY 40202

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.

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, Owensboro Health Regional Hospital 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.