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WILLIAM J CRUMP JR. MD
NPI 1326144502
Family Medicine - Geriatric Medicine in Madisonville, KY

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7200 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William J Crump Jr. Md NPPES

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

WILLIAM J CRUMP JR. MD (NPI 1326144502) is an individual geriatric medicine provider in Madisonville, Kentucky, licensed in Kentucky (34461) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Vanderbilt University School Of Medicine (1979).

NPPES Registry Identity

NPI1326144502
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameWILLIAM J CRUMP JR.Credential: MD
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address200 Clinic DrMadisonville, KY 42431-1661
Phone(270) 825-7200
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1979
Enumeration DateSeptember 15, 2006
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1326144502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in KY · 34461
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
200 CLINIC DR, Madisonville, KY 42431
Open in Google Maps ↗

Other Identifiers 3

Other000000044260Bcbs Provider Number
Medicaid649862868KY
Other34461KY · License

Accepted Insurance

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

William J Crump Jr. 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 ID6103906466
PECOS Enrollment IDI20071228000172
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

2

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

Baptist Health Deaconess Medical Group Inc
Same address
Rural Health
200 CLINIC DR FL 2
Madisonville, KY 42431
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
NPI 1497339667 (270) 825-7328
Baptist Health Medical Group Inc
0.2 mi
Rural Health
800 HOSPITAL DR FL 2
Madisonville, KY 42431
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1922401611 (Kentucky)
  • 1,441 clinicians in this Medicare group
NPI 1265072946 (270) 326-3900

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 2

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.
16 services14 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 William Crump's NPI number?

The NPI number for William Crump is 1326144502. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is William Crump located?

William Crump practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7200.

What is William Crump's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is William Crump enrolled in Medicare?

Yes. William Crump 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 William Crump's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Crump reassigns Medicare benefits to 2 organizations: Baptist Health Deaconess Medical Group Inc (Madisonville, KY) and Baptist Health Medical Group Inc (Madisonville, KY). 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 William Crump's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Crump accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list William Crump 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 William Crump affiliated with any hospitals?

According to CMS data, William Crump is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for William Crump was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.