DR. LISA D CRUTCHER M.D.
NPI 1841261013
Family Medicine in Sycamore, IL

Active since January 27, 2006Opted out of Medicare · through Nov 29, 2027
1830 MEDITERRANEAN DR, SYCAMORE, IL 60178(815) 306-2700(815) 306-2715 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa D Crutcher M.d. NPPES

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

DR. LISA D CRUTCHER M.D. (NPI 1841261013) is an individual family medicine provider in Sycamore, Illinois, licensed in Illinois (036-104449) and active in the NPI registry since January 2006. She has opted out of Medicare through November 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841261013
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LISA D CRUTCHERCredential: M.D.
Location Address1830 MEDITERRANEAN DRSycamore, IL 60178-3144
Mailing Address1830 Mediterranean DrSycamore, IL 60178-3144 · (815) 306-2700 · Fax (815) 306-2715
Fax(815) 306-2715
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateAugust 14, 2013
NPI 1841261013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-104449
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1830 MEDITERRANEAN DR, Sycamore, IL 60178

Other Identifiers 6

Medicare UPINH00413
Medicare PINIL2556007IL
Medicaid036104449IL
Medicare PINK51243IL
Other920540044IL · Medicare Ptan (individual)
Other920540IL · Medicare Ptan (group)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lisa D Crutcher M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 29, 2021 through November 29, 2027.

Opt-Out Effective DateNovember 29, 2021
Opt-Out In Effect ThroughNovember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60178 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 7

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

Family Medicine
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178
Obstetrics & Gynecology
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178
Physician Assistant
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178
Internal Medicine (Gastroenterology)
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178
Pediatrics
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178
Pediatrics
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178
Internal Medicine (Gastroenterology)
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178

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 Lisa Crutcher's NPI number?

The NPI number for Lisa Crutcher is 1841261013. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Lisa Crutcher located?

Lisa Crutcher practices at 1830 Mediterranean Dr, Sycamore, IL 60178. The listed phone number is (815) 306-2700.

What is Lisa Crutcher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Crutcher enrolled in Medicare?

No. Lisa Crutcher has opted out of Medicare through November 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Crutcher was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.