JOSEPH S CRISANTI M.D.
NPI 1598752271
Family Medicine in Ocean City, MD

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12547 OCEAN GATEWAY, OCEAN CITY, MD 21842(410) 213-0119(410) 213-2875 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph S Crisanti M.d. NPPES

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

JOSEPH S CRISANTI M.D. (NPI 1598752271) is an individual family medicine provider in Ocean City, Maryland, licensed in Maryland (D0050255) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Medical College Of Pennsylvania (1992).

NPPES Registry Identity

NPI1598752271
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH S CRISANTICredential: M.D.
Location Address12547 OCEAN GATEWAYOcean City, MD 21842-9341
Mailing Address12547 Ocean GatewayOcean City, MD 21842-9341 · (410) 213-0119 · Fax (410) 213-2875
Fax(410) 213-2875
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1992
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJanuary 20, 2015
NPI 1598752271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D0050255
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.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License D0050255 (MD)
12547 OCEAN GATEWAY, Ocean City, MD 21842

Other Identifiers 4

Medicaid413639000MD
Medicare NSC6022450001MD
Medicare PIN814MQ938MD
Medicare UPING28886MD

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

Joseph S Crisanti 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 ID3870526692
PECOS Enrollment IDI20050913000687
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 41

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, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
1,786 services388 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,639 services1,062 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
1,320 services583 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
1,144 services576 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
666 services576 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
518 services458 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21842 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
97%76 patients
Closing the Referral Loop: Receipt of Specialist Report
100%424 patients5/55-star benchmark: 87%
e-Prescribing
97%12,678 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%607 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
99%2,036 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,772 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 2,055 patients
Patients screened: 92% · 2,055 patients
100%257 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%871 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant (Medical)
12547 OCEAN GATEWAY
OCEAN CITY, MD 21842
Clinic/Center (Urgent Care)
12547 OCEAN GATEWAY
OCEAN CITY, MD 21842

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 Joseph Crisanti's NPI number?

The NPI number for Joseph Crisanti is 1598752271. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Joseph Crisanti located?

Joseph Crisanti practices at 12547 Ocean Gateway, Ocean City, MD 21842. The listed phone number is (410) 213-0119.

What is Joseph Crisanti's specialty?

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

Is Joseph Crisanti enrolled in Medicare?

Yes. Joseph Crisanti 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.

Is Joseph Crisanti affiliated with any hospitals?

According to CMS data, Joseph Crisanti is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Crisanti was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.