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JAMES MICHAEL CRAWFORD PA-C
NPI 1457690489
Physician Assistant in Fredericksburg, TX

Active since February 12, 2013PECOS EnrolledAccepts Medicare Assignment
1031 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624(830) 992-2820 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017, Jun 2, 2017 (3 updates tracked since 2017).

About James Michael Crawford Pa-c NPPES

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

JAMES MICHAEL CRAWFORD PA-C (NPI 1457690489) is an individual physician assistant in Fredericksburg, Texas, licensed in Texas (PA08182) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Hill Country Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457690489
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES MICHAEL CRAWFORDCredential: PA-C
Location Address1031 S STATE HIGHWAY 16Fredericksburg, TX 78624-4472
Mailing Address205 W Windcrest St, Ste 130Fredericksburg, TX 78624-4478 · (903) 530-5576
Phone(830) 992-2820
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 12, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1457690489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA08182
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1031 S STATE HIGHWAY 16, Fredericksburg, TX 78624
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Michael Crawford Pa-c 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 ID3577787100
PECOS Enrollment IDI20140620001572
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
137 services131 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
67 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
31 services29 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.
28 services27 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less 12001
This is a procedure to fix a minor wound on your scalp, neck, underarms, trunk, arms, or legs that is 2.5 cm or less. It involves cleaning, and then stitching or gluing the wound to help it heal properly and minimize scarring.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROLAND WILKE FNP-C
Nurse Practitioner (Family)
1031 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 992-2820
HILL COUNTRY MEMORIAL COMMUNITY SERVICES CORPORATION
Clinic/Center (Urgent Care)
1031 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 992-2820

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 James Crawford's NPI number?

The NPI number for James Crawford is 1457690489. It was assigned to this individual provider in the NPPES registry on February 12, 2013.

Where is James Crawford located?

James Crawford practices at 1031 S State Highway 16, Fredericksburg, TX 78624. The listed phone number is (830) 992-2820.

What is James Crawford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Crawford enrolled in Medicare?

Yes. James Crawford 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 James Crawford accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list James Crawford 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 James Crawford affiliated with any hospitals?

According to CMS data, James Crawford is affiliated with Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Crawford was last updated on July 21, 2022. 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.