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THOMAS A. CRISP JR. D.O.
NPI 1346414471
Family Medicine in Medical Lake, WA

Active since April 18, 2008PECOS Enrolled
850 MAPLE STREET, MEDICAL LAKE, WA 99022(509) 565-4000(509) 565-4705 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas A. Crisp Jr. D.o. NPPES

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

THOMAS A. CRISP JR. D.O. (NPI 1346414471) is an individual family medicine provider in Medical Lake, Washington, licensed in Washington (OP00002342) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346414471
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS A. CRISP JR.Credential: D.O.
Location Address850 MAPLE STREETMedical Lake, WA 99022-0800
Mailing AddressPo Box 800Medical Lake, WA 99022-0800 · (509) 565-4000 · Fax (509) 565-4705
Phone(509) 565-4000
Fax(509) 565-4705
Sole ProprietorNo
Enumeration DateApril 18, 2008
Last NPPES UpdateSeptember 10, 2015
✔ NPI 1346414471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00002342
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
850 MAPLE STREET, Medical Lake, WA 99022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas A. Crisp Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99022 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

DR. DARLENE E. WALSH-MARTIN PHD
Psychologist
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SAMAYA CASSANDRA LOVEGOOD M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
CHRISTINA L. ZAMPICH PSYD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SUZANNE D. PEREGOY D.O.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PATRICIA L. GUNDERSON PHD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PIERRE JOHN SOFFE M.D.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. AVERLY H NELSON M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. GRANT F. RODKEY DMD
Dentist (General Practice)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000

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 Thomas Crisp's NPI number?

The NPI number for Thomas Crisp is 1346414471. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Thomas Crisp located?

Thomas Crisp practices at 850 Maple Street, Medical Lake, WA 99022. The listed phone number is (509) 565-4000.

What is Thomas Crisp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Crisp enrolled in Medicare?

Yes. Thomas Crisp is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Crisp accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Crisp 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.

When was this NPI record last updated?

The NPPES record for Thomas Crisp was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.