RACHEL C KRUSPE M.D.
NPI 1366468803
Internal Medicine - Hematology & Oncology in Huntsville, AL

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
78.45/100
CMS Quality Rating
201 SIVLEY RD SW, STE 200, HUNTSVILLE, AL 35801(256) 265-1822 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel C Kruspe M.d. NPPES

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

RACHEL C KRUSPE M.D. (NPI 1366468803) is an individual hematology & oncology provider in Huntsville, Alabama, licensed in Alabama (26577) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2002).

NPPES Registry Identity

NPI1366468803
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameRACHEL C KRUSPECredential: M.D.
Location Address201 SIVLEY RD SW, STE 200Huntsville, AL 35801-5177
Mailing Address201 Sivley Rd Sw, Ste 200Huntsville, AL 35801-5177 · (256) 265-1835 · Fax (256) 265-1825
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2002
Enumeration DateJuly 15, 2006
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1366468803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AL · 26577
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 26577 (AL)
201 SIVLEY RD SW, Huntsville, AL 35801

Other Names 1

Former Name (1)Rachel Elizabeth Carlson

Other Identifiers 3

Other510I830006AL · Medicare Ptan
OtherA11812AAL · Medicare Ptan
Medicaid263695AL

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

Rachel C Kruspe 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 ID7810993714
PECOS Enrollment IDI20061017000497
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 21

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
22,440 services30 patients
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
This procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.
1,640 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,200 services13 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.
451 services128 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
379 services252 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
319 services231 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

78.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.29
Promoting Interoperability100
Improvement Activities40
Cost41.24

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,050 services$0.64 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
201 SIVLEY RD SW, SUITE 440
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
201 SIVLEY RD SW
HUNTSVILLE, AL 35801
Internal Medicine
201 SIVLEY RD SW, SUITE 550
HUNTSVILLE, AL 35801
Internal Medicine
201 SIVLEY RD SW, SUITE 550
HUNTSVILLE, AL 35801
Surgery (Trauma Surgery)
201 SIVLEY RD SW, SUITE 400
HUNTSVILLE, AL 35801
Surgery (Vascular Surgery)
201 SIVLEY RD SW, SUITE 530
HUNTSVILLE, AL 35801
Surgery
201 SIVLEY RD SW, SUITE 320
HUNTSVILLE, AL 35801
Hospitalist
201 SIVLEY RD SW, STE.500
HUNTSVILLE, AL 35801

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 Rachel Kruspe's NPI number?

The NPI number for Rachel Kruspe is 1366468803. It was assigned to this individual provider in the NPPES registry on July 15, 2006. The provider is also known as Rachel Elizabeth Carlson.

Where is Rachel Kruspe located?

Rachel Kruspe practices at 201 Sivley Rd SW Ste 200, Huntsville, AL 35801. The listed phone number is (256) 265-1822.

What is Rachel Kruspe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rachel Kruspe enrolled in Medicare?

Yes. Rachel Kruspe 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 Rachel Kruspe accept?

Health plans from Blue Cross and Blue Shield of Alabama list Rachel Kruspe 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 Rachel Kruspe was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.