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DR. CRYSTAL N IBETOH M.D.
NPI 1487388625
Family Medicine in Philadelphia, MS

Active since July 13, 2022PECOS Enrolled
1120 E MAIN ST STE 1, PHILADELPHIA, MS 39350(601) 656-1465 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2023, Jul 13, 2022 (2 updates tracked since 2022).

About Dr. Crystal N Ibetoh M.d. NPPES

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

DR. CRYSTAL N IBETOH M.D. (NPI 1487388625) is an individual family medicine provider in Philadelphia, Mississippi, licensed in Mississippi (37607) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487388625
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CRYSTAL N IBETOHCredential: M.D.
Location Address1120 E MAIN ST STE 1Philadelphia, MS 39350-2300
Mailing Address1120 E Main St Ste 1Philadelphia, MS 39350-2300 · (601) 656-1465
Phone(601) 656-1465
Sole ProprietorNo
Enumeration DateJuly 13, 2022
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1487388625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 37607
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.
1120 E MAIN ST STE 1, Philadelphia, MS 39350
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal N Ibetoh M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Crystal Ibetoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neshoba County General Hospital
0.7 mi
Clinic/Center
1002 SAINT FRANCIS DR
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 clinicians in this Medicare group
NPI 1184132219 (601) 663-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39350 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

DR. SHELBY SWEDE PHUNG MD
Family Medicine
1120 E MAIN ST STE 1
PHILADELPHIA, MS 39350
Neshoba County (601) 656-1465
JORDAN CLEARMAN
Nurse Practitioner
1120 E MAIN ST STE 1
PHILADELPHIA, MS 39350
Neshoba County (601) 416-0519

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 Crystal Ibetoh's NPI number?

The NPI number for Crystal Ibetoh is 1487388625. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Crystal Ibetoh located?

Crystal Ibetoh practices at 1120 E Main St Ste 1, Philadelphia, MS 39350. The listed phone number is (601) 656-1465.

What is Crystal Ibetoh's specialty?

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

Is Crystal Ibetoh enrolled in Medicare?

Yes. Crystal Ibetoh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Ibetoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Ibetoh reassigns Medicare benefits to Neshoba County General Hospital (Philadelphia, MS). The 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 Crystal Ibetoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Ibetoh accept?

Health plans from UnitedHealthcare list Crystal Ibetoh 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 Crystal Ibetoh was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.