BRENDA JANE CROWDER M.D.
NPI 1801865324
Obstetrics & Gynecology - Gynecology in Elizabethton, TN

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
88.95/100
CMS Quality Rating
1500 W ELK AVE, ELIZABETHTON, TN 37643(423) 543-2584(423) 722-2060 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Jane Crowder M.d. NPPES

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

BRENDA JANE CROWDER M.D. (NPI 1801865324) is an individual gynecology provider in Elizabethton, Tennessee, licensed in Tennessee (MD17907) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Indiana University School Of Medicine (1983).

NPPES Registry Identity

NPI1801865324
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameBRENDA JANE CROWDERCredential: M.D.
Location Address1500 W ELK AVEElizabethton, TN 37643-2654
Mailing Address1500 W Elk AveElizabethton, TN 37643-2654 · (423) 543-2584 · Fax (423) 722-2060
Fax(423) 722-2060
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1983
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1801865324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in TN · MD17907
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1500 W ELK AVE, Elizabethton, TN 37643

Other Identifiers 4

Other160055035TN · Railroad Medicare
Medicaid0327017TN
OtherTN0101TN · John Deere Commerical Ins
Other3131685TN · Bcbs Of Tennessee

Accepted 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

Brenda Jane Crowder 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 ID8729053236
PECOS Enrollment IDI20100914000117
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.

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.
47 services36 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
40 services40 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
39 services39 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Johnson County Community Hospital

Critical Access Hospitals · Mountain City, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number441304
Location1901 S Shady StMountain City, TN 37683 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37643 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

88.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.22
Promoting Interoperability92
Improvement Activities40
Cost86.62

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.

Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Physical Therapist
1500 W ELK AVE
ELIZABETHTON, TN 37643
Non-Pharmacy Dispensing Site
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643

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 Brenda Crowder's NPI number?

The NPI number for Brenda Crowder is 1801865324. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Brenda Crowder located?

Brenda Crowder practices at 1500 W Elk Ave, Elizabethton, TN 37643. The listed phone number is (423) 543-2584.

What is Brenda Crowder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Brenda Crowder enrolled in Medicare?

Yes. Brenda Crowder 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 Brenda Crowder accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Brenda Crowder 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 Brenda Crowder affiliated with any hospitals?

According to CMS data, Brenda Crowder is affiliated with Johnson City Medical Center and Johnson County Community Hospital.

When was this NPI record last updated?

The NPPES record for Brenda Crowder was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.