DR. CARL V. CRAWFORD JR. M.D.
NPI 1851566095
Internal Medicine - Gastroenterology in New York, NY

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE, 4TH FLOOR, NEW YORK, NY 10021(646) 962-4000 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl V. Crawford Jr. M.d. NPPES

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

DR. CARL V. CRAWFORD JR. M.D. (NPI 1851566095) is an individual gastroenterology provider in New York, New York, licensed in New York (231371) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Yale University School Of Medicine (2001).

NPPES Registry Identity

NPI1851566095
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CARL V. CRAWFORD JR.Credential: M.D.
Location Address1305 YORK AVE, 4TH FLOORNew York, NY 10021-5663
Mailing Address1305 York Ave, 4th FloorNew York, NY 10021-5663 · (646) 962-4000
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2001
Enumeration DateApril 29, 2008
Last NPPES UpdateJuly 20, 2016
NPI 1851566095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 231371
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.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 231371 (NY)
1305 YORK AVE, New York, NY 10021

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. Carl V. Crawford Jr. 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 ID143391516
PECOS Enrollment IDI20080612000787
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 15

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.
193 services124 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.
135 services124 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.
105 services104 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.
103 services74 patients
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.
85 services85 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.
23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Audiologist
1305 YORK AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Reproductive Endocrinology)
1305 YORK AVE, 6TH FLOOR
NEW YORK, NY 10021
Speech-Language Pathologist
1305 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1305 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Women's Health)
1305 YORK AVE
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE, 11TH FLOOR
NEW YORK, NY 10021
Optometrist (Corneal and Contact Management)
1305 YORK AVE, 11TH FL
NEW YORK, NY 10021

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 Carl Crawford's NPI number?

The NPI number for Carl Crawford is 1851566095. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Carl Crawford located?

Carl Crawford practices at 1305 York Ave 4th Floor, New York, NY 10021. The listed phone number is (646) 962-4000.

What is Carl Crawford's specialty?

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

Is Carl Crawford enrolled in Medicare?

Yes. Carl Crawford 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.

Is Carl Crawford affiliated with any hospitals?

According to CMS data, Carl Crawford is affiliated with New York-Presbyterian Hospital and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Carl Crawford was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.