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DR. JAMES D CROSBY MD
NPI 1649236720
Emergency Medicine - Emergency Medical Services in Opelika, AL

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.52/100
CMS Quality Rating
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-1112(334) 528-1547 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James D Crosby Md NPPES

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

DR. JAMES D CROSBY MD (NPI 1649236720) is an individual emergency medical services provider in Opelika, Alabama, licensed in Alabama (11087) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1982).

NPPES Registry Identity

NPI1649236720
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. JAMES D CROSBYCredential: MD
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing AddressPo Box 4283Opelika, AL 36803-4283 · (334) 528-1112 · Fax (334) 528-1547
Phone(334) 528-1112
Fax(334) 528-1547
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1982
Enumeration DateApril 26, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1649236720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in AL · 11087
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
2000 PEPPERELL PKWY, Opelika, AL 36801
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Other Identifiers 3

Medicare UPIND83856AL
Medicare ID-Type Unspecified51079265CROAL · Provider #
Other510-79265AL · Blue Cross Of Al Provid #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dr. James D Crosby 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 ID345225579
PECOS Enrollment IDI20040622000953
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
82 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
37 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.31
Promoting Interoperability100
Improvement Activities40
Cost57.39

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 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 20

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

TAYLOR DAVID WACHS DO
Internal Medicine (Critical Care Medicine)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
MAXIMILIAN SUNGHO CHOO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DR. CASEY ESTELLE SPEARS PHARMD
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
NGUYEN LAM DO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DAVID ALLEN POWELL CAA
Anesthesiologist Assistant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2499
ARSH PATEL DO
Internal Medicine
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-3035
JAMIE TREHERN RN
Registered Nurse (Obstetric, Inpatient)
2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801
Lee County (334) 528-3710
MACKENZIE WINTER WATERS PHARM.D.
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2474

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 James Crosby's NPI number?

The NPI number for James Crosby is 1649236720. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is James Crosby located?

James Crosby practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-1112.

What is James Crosby's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is James Crosby enrolled in Medicare?

Yes. James Crosby 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 James Crosby accept?

Health plans from Blue Cross and Blue Shield of Alabama list James Crosby 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.

When was this NPI record last updated?

The NPPES record for James Crosby was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.