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DR. MARK A CRISWELL M.D., F.A.C.S.
NPI 1619947033
Otolaryngology in Eglin Afb, FL

Active since January 26, 2006PECOS Enrolled
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8264 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2018, Sep 22, 2016 (2 updates tracked since 2016).

About Dr. Mark A Criswell M.d., F.a.c.s. NPPES

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

DR. MARK A CRISWELL M.D., F.A.C.S. (NPI 1619947033) is an individual otolaryngology provider in Eglin Afb, Florida, licensed in Colorado (00056111) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619947033
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARK A CRISWELLCredential: M.D., F.A.C.S.
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-8264
Phone(850) 883-8264
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1619947033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in CO · 00056111✔ Licensed in IN · 01046367A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 01046367A (IN)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 0056111 (CO)
307 BOATNER RD STE 114, Eglin Afb, FL 32542
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Other Identifiers 2

Medicaid21400253CO
Other027034CO · Kaiser Commercial Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark A Criswell M.d., F.a.c.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32542 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 20

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

LUCAS RYAN PETKEWITZ DPT
Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
DR. JAMES SAXTON
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
BODEN JAMES PORT DO
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
HEATHER DAWN BROCK
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Okaloosa County (850) 883-9042
DR. ANDREW KEITH MATTHIES D.O.
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
ANJELI KRISTEN NAYAR POPE M.D.
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9906
DR. ERIC MICHAEL WEISS MD
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
CAMRON BOWMAN DO
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8288

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 Mark Criswell's NPI number?

The NPI number for Mark Criswell is 1619947033. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Mark Criswell located?

Mark Criswell practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8264.

What is Mark Criswell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Criswell enrolled in Medicare?

Yes. Mark Criswell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Criswell was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.