CAROLYN DIANE CRISPELL D.O.
NPI 1306069265
Internal Medicine in Johnson City, NY

Q: What is Carolyn Crispell's NPI number?

The NPI number for Carolyn Crispell is 1306069265. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Carolyn Crispell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Crispell was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 10, 2007PECOS EnrolledAccepts Medicare Assignment

33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6622(607) 763-5064 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Carolyn Diane Crispell D.o. NPPES

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

CAROLYN DIANE CRISPELL D.O. (NPI 1306069265) is an individual internal medicine provider in Johnson City, New York, licensed in Texas (R7696) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1306069265

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCAROLYN DIANE CRISPELLCredential: D.O.

Location Address33-57 HARRISON STJohnson City, NY 13790-2107

Mailing Address3708 Jefferson St, Ste AAustin, TX 78731-6206 · (607) 729-8156 · Fax (607) 729-3982

Phone(607) 763-6622

Fax(607) 763-5064

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 10, 2007

Last NPPES UpdateAugust 28, 2018

✔ NPI 1306069265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · R7696✔ Licensed in NY · 239067

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 239067 (NY)

33-57 HARRISON ST, Johnson City, NY 13790

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Other Identifiers 1

Medicaid02886620NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Carolyn Diane Crispell D.o. 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 ID941394894

PECOS Enrollment IDI20180904001524

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 Carolyn Crispell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Health Services Hospitals, Inc.

Same address

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

United Medical Associates PC

2.1 mi

Clinic/Center

33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905

Reassigned Medicare billing, New York enrollment
528 clinicians in this Medicare group

NPI 1013972801 (607) 770-0025

Hospitalist Medicine Physicians Of Texas, PLLC

1,361 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

Aco Jason Martin Medical Consulting

1,468 mi

Internal Medicine

208 BELLA COLINAS DR
Austin, TX 78738

Reassigned Medicare billing, Texas enrollment
75 clinicians in this Medicare group

NPI 1881578961 (512) 234-4685

Jason Martin Medical Consulting LLC

1,468 mi

General Practice

208 BELLA COLINAS DR
Austin, TX 78738

Reassigned Medicare billing, Texas enrollment
111 clinicians in this Medicare group

NPI 1851736243 (512) 840-1158

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

224 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

111 services38 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

47 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

TASNIMA RIA ELAHI MD

Hospitalist