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DR. BRIAN JOSEPH CRISP M.D.
NPI 1861446262
Obstetrics & Gynecology in Santa Maria, CA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1400 EAST CHURCH STREET, DEPARTMENT OF OB/GYN, SANTA MARIA, CA 93454(805) 739-3474 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian Joseph Crisp M.d. NPPES

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

DR. BRIAN JOSEPH CRISP M.D. (NPI 1861446262) is an individual obstetrics & gynecology provider in Santa Maria, California, licensed in California (G64483) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1987).

NPPES Registry Identity

NPI1861446262
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. BRIAN JOSEPH CRISPCredential: M.D.
Location Address1400 EAST CHURCH STREET, DEPARTMENT OF OB/GYNSanta Maria, CA 93454-5906
Mailing Address117 West Bunny AveSanta Maria, CA 93458-2805 · (805) 739-3474
Phone(805) 739-3474
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1987
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1861446262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G64483
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 40292 (CO)
1400 EAST CHURCH STREET, Santa Maria, CA 93454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Joseph 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 ID5193027944
PECOS Enrollment IDI20160111001490
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Crisp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pacific Central Coast Health Centers
0.1 mi
Community Health
300 S STRATFORD AVE
Santa Maria, CA 93454
  • Reassigned Medicare billing, California enrollment
  • 263 clinicians in this Medicare group
NPI 1760887368 (805) 739-3863
Obhg Colorado, P.C.
908 mi
Obstetrics & Gynecology
4050 BRIARGATE PKWY
Colorado Springs, CO 80920
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Obhg Colorado PC
  • 66 clinicians in this Medicare group
NPI 1104116896 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
22 services21 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MRS. LERZAN TUNALI MADENCI M.D.
Internal Medicine
1400 EAST CHURCH STREET
SANTA MARIA, CA 93454
Santa Barbara County (805) 878-6134
ASHLEY BRIDGES PA-C
Physician Assistant
1400 EAST CHURCH STREET
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3200
DR. RICARDO R FLORES MD
Pediatrics (Pediatric Pulmonology)
1400 EAST CHURCH STREET, BUILDING 8
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3561
DR. RICHARD R MCCLAFLIN MD
Family Medicine
1400 EAST CHURCH STREET, BUILDING 8
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3561

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 Brian Crisp's NPI number?

The NPI number for Brian Crisp is 1861446262. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Brian Crisp located?

Brian Crisp practices at 1400 East Church Street Department Of Ob/Gyn, Santa Maria, CA 93454. The listed phone number is (805) 739-3474.

What is Brian Crisp's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brian Crisp enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Crisp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Crisp reassigns Medicare benefits to 2 organizations: Pacific Central Coast Health Centers (Santa Maria, CA) and Obhg Colorado, P.C. (Colorado Springs, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Crisp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Crisp was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.