DR. JOHN CRISOLOGO M.D.
NPI 1720158843
Internal Medicine - Gastroenterology in Beaufort, SC

Q: What is John Crisologo's NPI number?

The NPI number for John Crisologo is 1720158843. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is John Crisologo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for John Crisologo was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 08, 2006PECOS EnrolledAccepts Medicare Assignment

78.01/100

CMS Quality Rating

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE, BEAUFORT, SC 29906(843) 770-0404(844) 296-2309 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John Crisologo M.d. NPPES

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

DR. JOHN CRISOLOGO M.D. (NPI 1720158843) is an individual gastroenterology provider in Beaufort, South Carolina, licensed in South Carolina (24000) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Beaufort County Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1997).

NPPES Registry Identity

NPI1720158843

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JOHN CRISOLOGOCredential: M.D.

Location AddressBEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVEBeaufort, SC 29906-5200

Mailing Address955 Ribaut Rd, Bmac CredentialingBeaufort, SC 29902-5441 · (843) 522-5674 · Fax (843) 522-5678

Phone(843) 770-0404

Fax(844) 296-2309

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1997

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 24, 2019

✔ NPI 1720158843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in SC · 24000

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, Beaufort, SC 29906

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Other Identifiers 1

MedicaidT81480SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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. John Crisologo 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 ID1456365675

PECOS Enrollment IDI20060126000775

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 19

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

404 services404 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

194 services194 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

159 services158 patients

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.

121 services105 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.

94 services82 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

74 services67 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

69 services69 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

63 services63 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

51 services51 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services23 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services16 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

20 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

15 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services14 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

14 services14 patients

Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43236

This procedure involves a flexible tube, called an endoscope, which is passed through your mouth to examine your esophagus, stomach, and upper small bowel. A special needle is used to inject medication or other substances directly into these areas.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29906 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

78.01/100

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

Individually scored

Quality

82.4

Promoting Interoperability

100

Improvement Activities

Cost

44.3

Reported Quality Measures

Cervical Cancer Screening

39%207 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

54%72 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

88%428 patients5/55-star benchmark: 88%

Controlling High Blood Pressure

77%237 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

44%82 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

86%1,031 patients4/55-star benchmark: 100%

e-Prescribing

98%817 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

37%683 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 82% · 557 patients

Patients screened: 87% · 557 patients

50%54 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

83%442 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 317 patients

Patients totalRate: 15% · 336 patients

16%336 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

2 suppliers19 claims571 services$11.21 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

2 suppliers11 claims78 services$279.33 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

2 suppliers19 claims133 services$7.99 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

2 suppliers19 claims133 services$24.94 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 11

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

DR. NICHOLAS P DARDES DO

Internal Medicine

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

DR. FLETCHER CARL DERRICK III M.D.

Internal Medicine

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DR
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

ERIN ROYAL SCOTT NP

Nurse Practitioner (Adult Health)

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

BEAUFORT COUNTY MEMORIAL HOSPITAL

General Practice

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

KRISTEN C JOHNSON

Physician Assistant

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

DR. EMI MICHELLE RENDON POPE M.D.

Internal Medicine

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

DR. EVE ANNE ASHBY D.O.

Obstetrics & Gynecology (Gynecology)

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

MRS. MARGARET TANNER MILER PA-C

Physician Assistant (Medical)

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DR
BEAUFORT, SC 29906

Beaufort County (843) 770-0404

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 John Crisologo's NPI number?

The NPI number for John Crisologo is 1720158843. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is John Crisologo located?

John Crisologo practices at Beaufort Memorial Lowcountry Medical Group 300 Midtown Drive, Beaufort, SC 29906. The listed phone number is (843) 770-0404.

What is John Crisologo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Crisologo enrolled in Medicare?

Yes. John Crisologo 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 John Crisologo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list John Crisologo 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 John Crisologo affiliated with any hospitals?

According to CMS data, John Crisologo is affiliated with Beaufort County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Crisologo was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.