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JAMES ANTHONY CRISP M.D.
NPI 1851650055
Psychiatry & Neurology - Neurology in Winston-salem, NC

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
MEDICAL CENTER BLVD., WINSTON-SALEM, NC 27157(336) 716-2011 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Anthony Crisp M.d. NPPES

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

JAMES ANTHONY CRISP M.D. (NPI 1851650055) is an individual neurology provider in Winston-salem, North Carolina, licensed in North Carolina (2016-01184) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Meharry Medical College School Of Medicine (2012).

NPPES Registry Identity

NPI1851650055
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES ANTHONY CRISPCredential: M.D.
Location AddressMEDICAL CENTER BLVD.Winston-salem, NC 27157
Mailing Address2318 James Boswell RdBurlington, NC 27217 · (615) 713-8995
Phone(336) 716-2011
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateMay 25, 2017
✔ NPI 1851650055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 2016-01184
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MEDICAL CENTER BLVD., Winston-salem, NC 27157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

James Anthony Crisp 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 ID749559813
PECOS Enrollment IDI20170705001569
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 7

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.
61 services49 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.
32 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services15 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.
21 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MRS. DORIS ANN MORRIS CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD.
WINSTON SALEM, NC 27157
Forsyth County (336) 713-2555
ROBIN LAIRD CHAVES CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD.
WINSTON SALEM, NC 27157
Forsyth County (336) 716-3069
ANNA OLIVIA DORSETT MD
Anesthesiology
MEDICAL CENTER BLVD., WAKE FOREST SCHOOL OF MEDICINE DEPT. OF PSYCHIATRY
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551
MR. HENRY B KARPINSKI CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD.
WINSTON SALEM, NC 27157
Forsyth County (336) 713-2612
MR. JEFFREY SORELLE PALMER CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD.
WINSTON SALEM, NC 27157
Forsyth County (336) 716-3069
LORETTA LEE MUCHOW NP
Nurse Practitioner
MEDICAL CENTER BLVD., NEUROSURGERY
WINSTON-SALEM, NC 27157
Forsyth County (367) 164-0813

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 James Crisp's NPI number?

The NPI number for James Crisp is 1851650055. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is James Crisp located?

James Crisp practices at Medical Center Blvd., Winston-Salem, NC 27157. The listed phone number is (336) 716-2011.

What is James Crisp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Crisp enrolled in Medicare?

Yes. James Crisp 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 James Crisp accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list James Crisp 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 James Crisp affiliated with any hospitals?

According to CMS data, James Crisp is affiliated with North Carolina Baptist Hospital and Lexington Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for James Crisp was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.