GARY STEPHEN CRAWFORD M.D.
NPI 1619963121
Family Medicine in Wallace, NC

Q: What is Gary Crawford's NPI number?

The NPI number for Gary Crawford is 1619963121. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Gary Crawford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Crawford was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

112 MEDICAL VILLAGE DR, UNIT D, WALLACE, NC 28466(910) 285-7592(910) 285-4610 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gary Stephen Crawford M.d. NPPES

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

GARY STEPHEN CRAWFORD M.D. (NPI 1619963121) is an individual family medicine provider in Wallace, North Carolina, licensed in North Carolina (9401162) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Vidant Duplin Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1619963121

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGARY STEPHEN CRAWFORDCredential: M.D.

Location Address112 MEDICAL VILLAGE DR, UNIT DWallace, NC 28466-1668

Mailing Address125 River Vine PkwyWallace, NC 28466-2377 · (910) 285-2134 · Fax (910) 285-4610

Phone(910) 285-7592

Fax(910) 285-4610

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateSeptember 21, 2005

Last NPPES UpdateJanuary 14, 2022

NPPES CertifiedJanuary 14, 2022

✔ NPI 1619963121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 9401162

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.

112 MEDICAL VILLAGE DR, Wallace, NC 28466

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Other Identifiers 1

Medicaid8925388NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Gary Stephen Crawford 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 ID5496831810

PECOS Enrollment IDI20080326000403

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 15

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.

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.

523 services273 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

304 services156 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

208 services198 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

163 services83 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

124 services27 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

123 services123 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

113 services87 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

111 services105 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

106 services102 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.

47 services37 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

23 services23 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

19 services19 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

16 services13 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Vidant Duplin Hospital

Acute Care Hospitals · Kenansville, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340120

Location401 N Main StKenansville, NC 28349 · Duplin County

Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC

OwnershipGovernment - Local

CMS Certification Number341307

Location507 E Fremont StBurgaw, NC 28425 · Pender County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28466 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

98.33/100

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

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers74 claims176 services$6.38 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers14 claims14 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers25 claims38 services$1.14 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers14 claims14 services$106.66 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers15 claims33 services$44.59 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers13 claims13 services$70.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MARY A FRANKOS M.D.

Internal Medicine

112 MEDICAL VILLAGE DR, UNIT F
WALLACE, NC 28466

Duplin County (910) 285-0333

KERN LEE BARROW PA

Physician Assistant

112 MEDICAL VILLAGE DR, SUITE G
WALLACE, NC 28466

Duplin County (910) 285-0333

CAROLINA HEALTHCARE ASSOCIATES INC

Family Medicine

112 MEDICAL VILLAGE DR, STE G
WALLACE, NC 28466

Duplin County (910) 285-0333

HORACE VERNON PIGFORD JR. PT

Physical Therapist

112 MEDICAL VILLAGE DR
WALLACE, NC 28466

Duplin County (910) 285-7388

DR. ROXIE C WELLS M.D.

Family Medicine

112 MEDICAL VILLAGE DR
WALLACE, NC 28466

Duplin County (910) 285-2111

KELLY CHIROPRACTIC CENTER OF WALLACE

Chiropractor

112 MEDICAL VILLAGE DR, SUITE A
WALLACE, NC 28466

Duplin County (910) 285-9002

WALLACE URGENT CARE LLC

Internal Medicine

112 MEDICAL VILLAGE DR, UNIT F
WALLACE, NC 28466

Duplin County (910) 552-1580

TRINITY FAMILY MEDICINE, P.A.

Family Medicine

112 MEDICAL VILLAGE DR, UNIT D
WALLACE, NC 28466

Duplin County (910) 285-7592

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 Gary Crawford's NPI number?

The NPI number for Gary Crawford is 1619963121. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Gary Crawford located?

Gary Crawford practices at 112 Medical Village Dr Unit D, Wallace, NC 28466. The listed phone number is (910) 285-7592.

What is Gary Crawford's specialty?

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

Is Gary Crawford enrolled in Medicare?

Yes. Gary Crawford 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.

What insurance does Gary Crawford accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Gary Crawford 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.

Is Gary Crawford affiliated with any hospitals?

According to CMS data, Gary Crawford is affiliated with Vidant Duplin Hospital, Novant Health New Hanover Regional Medical Center and Pender Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gary Crawford was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.