ROBERT S CRAUSMAN M.D.
NPI 1790880490
Internal Medicine in Fall River, MA

Active since September 14, 2006PECOS Enrolled
528 NEWTON ST, FALL RIVER, MA 02721(508) 675-1522(508) 676-5647 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert S Crausman M.d. NPPES

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

ROBERT S CRAUSMAN M.D. (NPI 1790880490) is an individual internal medicine provider in Fall River, Massachusetts, licensed in Massachusetts (73891) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1988).

NPPES Registry Identity

NPI1790880490
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT S CRAUSMANCredential: M.D.
Location Address528 NEWTON STFall River, MA 02721-2366
Mailing Address528 Newton StFall River, MA 02721-2366 · (508) 675-1522 · Fax (508) 676-5647
Fax(508) 676-5647
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1988
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 17, 2013
NPI 1790880490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 73891
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 73891 (MA)
528 NEWTON ST, Fall River, MA 02721

Other Identifiers 7

Other404372MA · Tufts
Medicare ID-Type UnspecifiedA35900MA
OtherP00084798Rr Medicare
OtherJ26640MA · Bcbs Ma
Medicare UPING17786
Medicaid2019540MA
Other26755RI · Bcbs Ri

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert S Crausman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254227556
PECOS Enrollment IDI20040224000947
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 2

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.
270 services29 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.
90 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02721 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
14%21 patients1/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
10%29 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%2,815 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%194 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
31%236 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
73%238 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%316 patients5/55-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

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

Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source E0500
DME-Other DME · category DE000N
1 supplier12 claims12 services$94.80 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 5

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

Clinic/Center (Urgent Care)
528 NEWTON ST
FALL RIVER, MA 02721
Physician Assistant
528 NEWTON ST
FALL RIVER, MA 02721
Internal Medicine
528 NEWTON ST
FALL RIVER, MA 02721
Nurse Practitioner (Adult Health)
528 NEWTON ST
FALL RIVER, MA 02721
Physician Assistant (Medical)
528 NEWTON ST
FALL RIVER, MA 02721

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 Robert Crausman's NPI number?

The NPI number for Robert Crausman is 1790880490. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Robert Crausman located?

Robert Crausman practices at 528 Newton St, Fall River, MA 02721. The listed phone number is (508) 675-1522.

What is Robert Crausman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Crausman enrolled in Medicare?

Yes. Robert Crausman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Crausman was last updated on October 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.