JOHN M CREAN M.D.
NPI 1881697100
Internal Medicine - Cardiovascular Disease in Riverhead, NY

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1279 E MAIN ST, RIVERHEAD, NY 11901(631) 727-2100(631) 727-2646 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Crean M.d. NPPES

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

JOHN M CREAN M.D. (NPI 1881697100) is an individual cardiovascular disease provider in Riverhead, New York, licensed in New York (174900) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1987).

NPPES Registry Identity

NPI1881697100
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN M CREANCredential: M.D.
Location Address1279 E MAIN STRiverhead, NY 11901-2583
Mailing Address1279 E Main StRiverhead, NY 11901-2583 · (631) 727-2100 · Fax (631) 727-2646
Fax(631) 727-2646
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1987
Enumeration DateMay 31, 2005
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1881697100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 174900
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1279 E MAIN ST, Riverhead, NY 11901

Other Identifiers 1

Medicaid01521264NY

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

John M Crean 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 ID446288377
PECOS Enrollment IDI20090429000449
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 14

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.
1,308 services638 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,148 services643 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
422 services420 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
202 services182 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
104 services25 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
81 services39 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Internal Medicine (Cardiovascular Disease)
1279 E MAIN ST
RIVERHEAD, NY 11901
Physician Assistant
1279 E MAIN ST
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
1279 E MAIN ST
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
1279 E MAIN ST
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1279 E MAIN ST
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
1279 E MAIN ST
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
1279 E MAIN ST
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
1279 E MAIN ST
RIVERHEAD, NY 11901

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 John Crean's NPI number?

The NPI number for John Crean is 1881697100. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is John Crean located?

John Crean practices at 1279 E Main St, Riverhead, NY 11901. The listed phone number is (631) 727-2100.

What is John Crean's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Crean enrolled in Medicare?

Yes. John Crean 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 John Crean affiliated with any hospitals?

According to CMS data, John Crean is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for John Crean was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.