DR. M CRYSTAL HILL M.D.
NPI 1396797759
Family Medicine in Grants Pass, OR

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
96/100
CMS Quality Rating
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 472-4777(541) 471-1439 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2019, Aug 15, 2019 (2 updates tracked since 2019).

About Dr. M Crystal Hill M.d. NPPES

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

DR. M CRYSTAL HILL M.D. (NPI 1396797759) is an individual family medicine provider in Grants Pass, Oregon, licensed in Oregon (MD217669) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2005).

NPPES Registry Identity

NPI1396797759
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. M CRYSTAL HILLCredential: M.D.
Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051
Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 472-4777 · Fax (541) 471-1439
Fax(541) 471-1439
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2005
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
NPI 1396797759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OR · MD217669 Licensed in KS · 04-30361
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.

1701 NW HAWTHORNE AVE, Grants Pass, OR 97526

Other Identifiers 3

Medicaid200260760FKS
Medicaid500828070OR
Medicaid200260760CKS

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

Dr. M Crystal Hill 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 ID1052382694
PECOS Enrollment IDI20240208002616
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 6

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
109 services83 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.
91 services71 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
74 services65 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
73 services59 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
18 services17 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97526 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability92
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers28 claims67 services$5.83 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers12 claims12 services$13.47 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$64.67 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims24 services$20.40 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims15 services$16.74 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers60 claims60 services$7.44 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.

Nurse Practitioner (Psychiatric/Mental Health)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Family Medicine
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dental Hygienist
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dentist (Dental Public Health)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Nurse Practitioner
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Nurse Practitioner
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Physician Assistant
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526

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 M Hill's NPI number?

The NPI number for M Hill is 1396797759. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is M Hill located?

M Hill practices at 1701 NW Hawthorne Ave, Grants Pass, OR 97526. The listed phone number is (541) 472-4777.

What is M Hill's specialty?

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

Is M Hill enrolled in Medicare?

Yes. M Hill 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 M Hill accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list M Hill 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 M Hill affiliated with any hospitals?

According to CMS data, M Hill is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for M Hill was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.