JESSICA CRYSTAL M.D.
NPI 1285947945
Surgery in Miami, FL

Q: What is Jessica Crystal's NPI number?

The NPI number for Jessica Crystal is 1285947945. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Q: What is Jessica Crystal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Crystal was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 22, 2010PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1120 NW 14TH ST FL 4, MIAMI, FL 33136(305) 243-9404 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2020, Aug 13, 2020 (2 updates tracked since 2020).

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About Jessica Crystal M.d. NPPES

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

JESSICA CRYSTAL M.D. (NPI 1285947945) is an individual surgery provider in Miami, Florida, licensed in Florida (ME145719) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285947945

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameJESSICA CRYSTALCredential: M.D.

Location Address1120 NW 14TH ST FL 4Miami, FL 33136-2107

Mailing Address1120 Nw 14th St Fl 4Miami, FL 33136-2107 · (305) 243-9404

Phone(305) 243-9404

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 22, 2010

Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration

NPPES CertifiedAugust 24, 2020

✔ NPI 1285947945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME145719

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1120 NW 14TH ST FL 4, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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

Jessica Crystal M.d. 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 ID4183904741

PECOS Enrollment IDI20200806002247

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

University Of Miami

Same address

Speech-Language Pathologist

1120 NW 14TH ST, 5TH FLOOR
Miami, FL 33136

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1457781163 (305) 243-3564

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 10

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.

81 services57 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.

80 services61 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

44 services31 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.

33 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

29 services23 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.

21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

81.31/100

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

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

6%124 patients

Breast Cancer Screening

63%319 patients3/55-star benchmark: 93%

Cervical Cancer Screening

14%472 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

16%542 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

74%93 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

30%54 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

54%54 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

91%2,414 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%284 patients4/55-star benchmark: 100%

HIV Screening

22%620 patients2/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

92%175 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

37%852 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

95%767 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%1,802 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 584 patients

Patients screened: 99% · 584 patients

38%21 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%403 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 8% · 296 patients

Patients totalRate: 10% · 296 patients

7%296 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

DR. NIVEDH VENKAT PALUVOI M.D.

Surgery