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MICHAEL CRUM M.D.
NPI 1912352030
Emergency Medicine in Pikeville, KY

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-3500(606) 437-0595 Get Directions Write a Review

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

Record update history: Jun 7, 2023, Oct 7, 2022, Apr 15, 2021 and 1 more (4 updates tracked since 2020).

About Michael Crum M.d. NPPES

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

MICHAEL CRUM M.D. (NPI 1912352030) is an individual emergency medicine provider in Pikeville, Kentucky, licensed in Kentucky (53315) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912352030
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL CRUMCredential: M.D.
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-3500 · Fax (606) 437-0595
Phone(606) 430-3500
Fax(606) 437-0595
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2016
Enumeration DateApril 26, 2016
Last NPPES UpdateJune 7, 20234 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1912352030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in KY · 53315✔ Licensed in FL · ME140288
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
911 BYPASS RD BLDG A, Pikeville, KY 41501
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 Medical Center Drive, Room 7400Morgantown, WV 26506 · Phone (304) 293-7215 · Fax (304) 293-6702
Location 2350 7th St NNaples, FL 34102 · Phone (954) 377-3004
Location 31221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Michael Crum 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 ID446540660
PECOS Enrollment IDI20200417003178
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

6

Medicare enrollment records show Michael Crum reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pikeville Medical Center Inc.
1.4 mi
Clinic/Center
254 CASSIDY BLVD
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1710207865 (606) 437-0123
Southeastern Emergency Physicians LLC
105 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Owensboro Health Medical Group Inc
189 mi
Otolaryngology
1501 S DIXIE ST
Horse Cave, KY 42749
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1891177556 (270) 786-2191
Green Valley Emergency Physicians, LLC
339 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444
Southwest Florida Emergency Management LLC
784 mi
Emergency Medicine
350 7TH ST N
Naples, FL 34102
  • Reassigned Medicare billing, Florida enrollment
  • 161 clinicians in this Medicare group
NPI 1780911206 (941) 436-5000
Thse - Marco Urgent Care LLC
799 mi
Internal Medicine
40 S HEATHWOOD DR
Marco Island, FL 34145
  • Reassigned Medicare billing, Florida enrollment
  • 97 clinicians in this Medicare group
NPI 1801125331 (239) 394-8234

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services48 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

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.

MRS. WHITNEY P. BURTON PA-C
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
DR. SHRAVANTI PONGALI MUTHU MD, MPH
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
AMY O JOHNSON MD
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2205
MATTHEW SEXTON M.D.
Anesthesiology (Critical Care Medicine)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
CAITLIN VICTORIA BERNIECE COLLIER
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2208
BRIANNA I COLEMAN
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
EMUESIRI CATHERINE OVWIGHO MD
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
TRULENA BENNER CRNA
Nurse Anesthetist, Certified Registered
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500

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 Michael Crum's NPI number?

The NPI number for Michael Crum is 1912352030. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Michael Crum located?

Michael Crum practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-3500.

What is Michael Crum's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Crum enrolled in Medicare?

Yes. Michael Crum 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 Michael Crum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Crum reassigns Medicare benefits to 6 organizations: Pikeville Medical Center Inc. (Pikeville, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Owensboro Health Medical Group Inc (Horse Cave, KY), Green Valley Emergency Physicians, LLC (Paducah, KY), Southwest Florida Emergency Management LLC (Naples, FL) and 1 more organization, listed in the Medicare section above. 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 Michael Crum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Crum accept?

Health plans from CareSource list Michael Crum 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 Michael Crum affiliated with any hospitals?

According to CMS data, Michael Crum is affiliated with Pikeville Medical Center and Paul B Hall Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Crum was last updated on June 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.