CARLY ANN MAYUMI CRIDER DO
NPI 1487041687
Internal Medicine in Lebanon, OR
About Carly Ann Mayumi Crider Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY ANN MAYUMI CRIDER DO (NPI 1487041687) is an individual internal medicine provider in Lebanon, Oregon, licensed in Oregon (193425) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and maintains a secondary practice location in Lebanon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Carly Ann Mayumi Crider Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carly Ann Crider reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, OR 97355
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1881950038 (Oregon)
- 416 clinicians in this Medicare group
Albany, OR 97321
- Reassigned Medicare billing, Oregon enrollment
- 522 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Albany General Hospital
Acute Care Hospitals · Albany, ORSamaritan Lebanon Community Hospital
Critical Access Hospitals · Lebanon, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carly Ann Crider's NPI number?
The NPI number for Carly Ann Crider is 1487041687. It was assigned to this individual provider in the NPPES registry on April 25, 2015.
Where is Carly Ann Crider located?
Carly Ann Crider practices at 400 N Santiam Hwy, Lebanon, OR 97355. The listed phone number is (541) 451-6413.
What is Carly Ann Crider's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carly Ann Crider enrolled in Medicare?
Yes. Carly Ann Crider 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 Carly Ann Crider's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Ann Crider reassigns Medicare benefits to 2 organizations: Mid-Valley Healthcare, Inc. (Lebanon, OR) and Good Samaritan Hospital Corvallis (Albany, OR). 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 Carly Ann Crider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Ann Crider accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Carly Ann Crider 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 Carly Ann Crider affiliated with any hospitals?
According to CMS data, Carly Ann Crider is affiliated with Samaritan Albany General Hospital and Samaritan Lebanon Community Hospital.
When was this NPI record last updated?
The NPPES record for Carly Ann Crider was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carly Ann Mayumi Crider, DO · NPI 1487041687
Internal Medicine physician in Lebanon, Oregon. Individual provider, active in the CMS NPPES registry since April 25, 2015.
## Identity
- **NPI:** 1487041687 (Entity type: Individual)
- **Enumerated:** April 25, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 193425 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N SANTIAM HWY, Lebanon, OR 97355
- **Phone:** (541) 451-6413
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mid-Valley Healthcare, Inc. (NPI 1043838519, Lebanon, OR); Good Samaritan Hospital Corvallis (NPI 1023376654, Albany, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487041687) · Data from the CMS NPPES public registry.