CRYSTAL-DAWN BRADSHAW DPM
NPI 1780047969
Podiatrist - Foot & Ankle Surgery in Wheeling, WV

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10 MEDICAL PARK STE 203, WHEELING, WV 26003(304) 243-8360 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2022, Aug 17, 2020, Aug 16, 2019 (3 updates tracked since 2019).

About Crystal-dawn Bradshaw Dpm NPPES

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

CRYSTAL-DAWN BRADSHAW DPM (NPI 1780047969) is an individual foot & ankle surgery provider in Wheeling, West Virginia, licensed in North Carolina (733) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780047969
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCRYSTAL-DAWN BRADSHAWCredential: DPM
Location Address10 MEDICAL PARK STE 203Wheeling, WV 26003-6389
Mailing AddressPo Box 844572Boston, MA 02284-4572 · (301) 933-7133
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1780047969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NC · 733
Also ListedPodiatristTaxonomy 213E00000X · License 10499 (WV)
10 MEDICAL PARK STE 203, Wheeling, WV 26003

Secondary Practice Locations 3

Location 1222 N 5th St Ste 203Martins Ferry, OH 43935-1582 · Phone (740) 232-6110
Location 216416 Northcross Drive, Suite AHuntersville, NC 28078 · Phone (704) 987-9585
Location 3206 Joe Knox Ave Ste DMooresville, NC 28117-7912 · Phone (704) 235-0474

Accepted Insurance

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

Crystal-dawn Bradshaw Dpm 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 ID7719213107
PECOS Enrollment IDI20220914003714, I20220928002329
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Crystal-dawn Bradshaw reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 82 clinicians in this Medicare group
Surgery
109 MOUNT WOOD RD
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group
Critical Access
951 E MARKET ST
Cadiz, OH 43907
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
Critical Access
639 W. MAIN ST.
Barnesville, OH 43713
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
Family Medicine
3 E BENJAMIN DR
New Martinsville, WV 26155
  • Reassigned Medicare billing, West Virginia enrollment
  • 130 clinicians in this Medicare group
Orthopaedic Surgery
800 PLAZA DR STE 400
Rostraver Township, PA 15012
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 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 6

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 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.
31 services21 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.
25 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
20 services20 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.
15 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
10 MEDICAL PARK STE 203
WHEELING, WV 26003

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 Crystal-dawn Bradshaw's NPI number?

The NPI number for Crystal-dawn Bradshaw is 1780047969. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Crystal-dawn Bradshaw located?

Crystal-dawn Bradshaw practices at 10 Medical Park Ste 203, Wheeling, WV 26003. The listed phone number is (304) 243-8360.

What is Crystal-dawn Bradshaw's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Crystal-dawn Bradshaw enrolled in Medicare?

Yes. Crystal-dawn Bradshaw 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 Crystal-dawn Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal-dawn Bradshaw reassigns Medicare benefits to 6 organizations: Wheeling Hospital Inc (Wheeling, WV), Reynolds Memorial Hospital Inc (Wheeling, WV), Harrison Community Hospital, Inc. (Cadiz, OH), Barnesville Hospital Association, Inc. (Barnesville, OH), Wetzel County Hospital, Inc. (New Martinsville, WV) and 1 more organization, 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 Crystal-dawn Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal-dawn Bradshaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Crystal-dawn Bradshaw 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 Crystal-dawn Bradshaw affiliated with any hospitals?

According to CMS data, Crystal-dawn Bradshaw is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Crystal-dawn Bradshaw was last updated on October 7, 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.