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DR. CRYSTAL J GRAVATTE MD
NPI 1619219367
Pediatrics - Pediatric Emergency Medicine in Saint Louis, MO

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110(314) 454-2341(314) 454-4345 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 30, 2023 and 5 more (8 updates tracked since 2016).

About Dr. Crystal J Gravatte Md NPPES

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

DR. CRYSTAL J GRAVATTE MD (NPI 1619219367) is an individual pediatric emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2020022058) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2013).

NPPES Registry Identity

NPI1619219367
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. CRYSTAL J GRAVATTECredential: MD
Location Address1 CHILDRENS PL, DIV PED EMERGENCY MEDSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-2341 · Fax (314) 454-4345
Phone(314) 454-2341
Fax(314) 454-4345
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2013
Enumeration DateMarch 20, 2013
Last NPPES UpdateApril 17, 20258 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1619219367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MO · 2020022058
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2020022058 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200087976MO

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 J Gravatte Md 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 ID7113216813
PECOS Enrollment IDI20200909002328
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 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
HANNAH EDELMAN MD, PHD
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479

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 Gravatte's NPI number?

The NPI number for Crystal Gravatte is 1619219367. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Crystal Gravatte located?

Crystal Gravatte practices at 1 Childrens Pl Div Ped Emergency Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2341.

What is Crystal Gravatte's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Crystal Gravatte enrolled in Medicare?

Yes. Crystal Gravatte 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.

When was this NPI record last updated?

The NPPES record for Crystal Gravatte was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.