DR. NICHOLAS JOSEPH CROGNALE D.O
NPI 1659696250
Family Medicine - Sports Medicine in Quakertown, PA
About Dr. Nicholas Joseph Crognale D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS JOSEPH CROGNALE D.O (NPI 1659696250) is an individual sports medicine provider in Quakertown, Pennsylvania, licensed in Pennsylvania (OS017000) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nicholas Joseph Crognale D.o 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.
Medicare Billing Reassignments
8Medicare enrollment records show Nicholas Crognale reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Quakertown, PA 18951
- Reassigned Medicare billing, Pennsylvania enrollment
- 128 clinicians in this Medicare group
Quakertown, PA 18951
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Center Valley, PA 18034
- Reassigned Medicare billing, Pennsylvania enrollment
- 128 clinicians in this Medicare group
Wind Gap, PA 18091
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Hospital-Anderson Campus
- 104 clinicians in this Medicare group
Lehighton, PA 18235
- Reassigned Medicare billing, Pennsylvania enrollment
- 145 clinicians in this Medicare group
Brodheadsville, PA 18322
- Reassigned Medicare billing, Pennsylvania enrollment
- 106 clinicians in this Medicare group
Orwigsburg, PA 17961
- Reassigned Medicare billing, Pennsylvania enrollment
- 953 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 90 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Quakertown Hospital
Acute Care Hospitals · Quakertown, PASt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PASt Luke's Hospital - Monroe Campus
Acute Care Hospitals · Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18951 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUAKERTOWN, PA 18951
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 Nicholas Crognale's NPI number?
The NPI number for Nicholas Crognale is 1659696250. It was assigned to this individual provider in the NPPES registry on April 7, 2010.
Where is Nicholas Crognale located?
Nicholas Crognale practices at 157 S West End Blvd, Quakertown, PA 18951. The listed phone number is (484) 526-1735.
What is Nicholas Crognale's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Nicholas Crognale enrolled in Medicare?
Yes. Nicholas Crognale 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.
Which organizations bill Medicare for Nicholas Crognale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Crognale reassigns Medicare benefits to 8 organizations: St. Luke's Quakertown Hospital (Quakertown, PA), St. Luke's Physician Group, Inc. (Quakertown, PA), St Luke's Hospital (Center Valley, PA), St. Luke's Hosptial (Wind Gap, PA), The Carbon Schuylkill Community Hospital, Inc. (Lehighton, PA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Crognale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicholas Crognale affiliated with any hospitals?
According to CMS data, Nicholas Crognale is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Monroe Campus.
When was this NPI record last updated?
The NPPES record for Nicholas Crognale was last updated on July 30, 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.
# Dr. Nicholas Joseph Crognale, D.O · NPI 1659696250
Sports Medicine physician in Quakertown, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 7, 2010.
## Identity
- **NPI:** 1659696250 (Entity type: Individual)
- **Enumerated:** April 7, 2010
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** OS017000 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 157 S WEST END BLVD, Quakertown, PA 18951-1140
- **Phone:** (484) 526-1735
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): St. Luke's Quakertown Hospital (NPI 1457710576, Quakertown, PA); St. Luke's Physician Group, Inc. (NPI 1316127376, Quakertown, PA); St Luke's Hospital (NPI 1760960140, Center Valley, PA); St. Luke's Hosptial (NPI 1376965731, Wind Gap, PA); The Carbon Schuylkill Community Hospital, Inc. (NPI 1386185452, Lehighton, PA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2010
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659696250) · Data from the CMS NPPES public registry.