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CRYSTAL KUCUK MACOMB DO
NPI 1881121655
Orthopaedic Surgery - Sports Medicine in Allentown, PA

Active since May 11, 2017
1621 N CEDAR CREST BLVD, ALLENTOWN, PA 18104(610) 402-8900 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2026, Sep 16, 2022, Oct 16, 2020 and 2 more (5 updates tracked since 2017).

About Crystal Kucuk Macomb Do NPPES

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

CRYSTAL KUCUK MACOMB DO (NPI 1881121655) is an individual sports medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS025775) and active in the NPI registry since May 2017. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1881121655
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameCRYSTAL KUCUK MACOMBCredential: DO
Location Address1621 N CEDAR CREST BLVDAllentown, PA 18104-2304
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Phone(610) 402-8900
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateSeptember 4, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1881121655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in PA · OS025775
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0102206099 (VA)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 4621 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1621 N CEDAR CREST BLVD, Allentown, PA 18104
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1501 W 14th StWilmington, DE 19801-1013 · Phone (302) 733-1000
Location 2650 Joel DrFort Campbell, KY 42223-5318 · Phone (270) 798-8400
Location 33650 Joseph Siewick Dr Ste 400Fairfax, VA 22033-1715 · Phone (703) 391-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Kucuk Macomb Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Crystal Macomb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Physician Partners, LLC
156 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609

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

Other Providers at the Same Location NPPES 16

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

CLARE SCHOEN
Occupational Therapist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Podiatrist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
MELISSA LINN KNECHT P.A.-C.
Physician Assistant
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
KIRSTEN MAYHEW
Physical Therapist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
DR. THOMAS J. GRAHAM M.D.
Orthopaedic Surgery (Hand Surgery)
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
TYLER JAMES TROBETSKY
Physician Assistant (Medical)
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Chiropractor
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
DANIEL CHARLES FARBER MD
Orthopaedic Surgery
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900

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 Crystal Macomb's NPI number?

The NPI number for Crystal Macomb is 1881121655. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Crystal Macomb located?

Crystal Macomb practices at 1621 N Cedar Crest Blvd, Allentown, PA 18104. The listed phone number is (610) 402-8900.

What is Crystal Macomb's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Crystal Macomb enrolled in Medicare?

Yes. Crystal Macomb is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Macomb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Macomb reassigns Medicare benefits to Inova Physician Partners, LLC (Chantilly, VA). The 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 Crystal Macomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Macomb accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Crystal Macomb 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.

When was this NPI record last updated?

The NPPES record for Crystal Macomb was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.