DR. CRYSTAL MARIE CARMICHEAL M.D.
NPI 1619138682
Hospitalist in Greenville, IL

Q: What is Crystal Carmicheal's NPI number?

The NPI number for Crystal Carmicheal is 1619138682. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Q: What is Crystal Carmicheal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since June 22, 2008PECOS EnrolledAccepts Medicare Assignment

90.77/100

CMS Quality Rating

200 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1230 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2021, May 10, 2019, Mar 9, 2018 (3 updates tracked since 2018).

On this page

About Dr. Crystal Marie Carmicheal M.d. NPPES

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

DR. CRYSTAL MARIE CARMICHEAL M.D. (NPI 1619138682) is an individual hospitalist provider in Greenville, Illinois, licensed in Illinois (036127381) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619138682

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. CRYSTAL MARIE CARMICHEALCredential: M.D.

Location Address200 HEALTH CARE DRGreenville, IL 62246-1154

Mailing Address2100 Powell St, Ste 900Emeryville, CA 94608-1844 · (510) 851-7423 · Fax (510) 879-9120

Phone(618) 664-1230

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 22, 2008

Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration

NPPES CertifiedOctober 6, 2021

✔ NPI 1619138682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036127381

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036127381 (IL), 2011035523 (MO)

200 HEALTH CARE DR, Greenville, IL 62246

Open in Google Maps ↗

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. Crystal Marie Carmicheal 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 ID9739347279

PECOS Enrollment IDI20120229000864

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

322 services150 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

167 services92 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

116 services115 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

60 services59 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140052

LocationSt Anthony's WayAlton, IL 62002 · Madison County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62246 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

90.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.98

Improvement Activities

Cost

68.13

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.

CHRISTOPHER ENGELE

Nurse Practitioner (Family)