MATTHEW JAMES CRAPKO MD
NPI 1922273903
Colon & Rectal Surgery in Austin, TX

Q: What is Matthew Crapko's NPI number?

The NPI number for Matthew Crapko is 1922273903. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Q: What is Matthew Crapko's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Crapko was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment

91.59/100

CMS Quality Rating

5251 W HIGHWAY 290, AUSTIN, TX 78735(512) 654-3000(512) 654-3001 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Nov 7, 2025, Jan 14, 2016 (3 updates tracked since 2016).

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About Matthew James Crapko Md NPPES

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

MATTHEW JAMES CRAPKO MD (NPI 1922273903) is an individual colon & rectal surgery provider in Austin, Texas, licensed in Texas (P2219) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1922273903

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameMATTHEW JAMES CRAPKOCredential: MD

Location Address5251 W HIGHWAY 290Austin, TX 78735-8963

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722

Phone(512) 654-3000

Fax(512) 654-3001

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2007

Enumeration DateApril 29, 2008

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1922273903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Licenses✔ Licensed in TX · P2219✔ Licensed in NV · 14747

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 14747 (NV), P2219 (TX)

5251 W HIGHWAY 290, Austin, TX 78735

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Secondary Practice Location 1

Location 175 Pringle Way, Suite 1002Reno, NV 89502-1464 · Phone (775) 323-7500

Other Identifiers 1

Other1922273903NV · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Texas.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

Matthew James Crapko Md 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 ID7618115064

PECOS Enrollment IDI20130813000623

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

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

Scott & White Clinic

39 mi

Internal Medicine

1701 E PFLUGERVILLE PKWY
Pflugerville, TX 78660

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1679691729 (512) 259-6000

Gomez Kozar Mcelreath Smith

1,376 mi

Surgery

18653 WEDGE PARKWAY
Reno, NV 89511

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Gomez Kozar Mcelreath And Smith Professional Corporation
41 clinicians in this Medicare group

NPI 1760409783 (775) 323-7500

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 10

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.

32 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services20 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.

21 services15 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.

20 services19 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.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670131

Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County

Emergency services

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670136

Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

91.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.05

Promoting Interoperability

96.88

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

5 suppliers18 claims610 services$3.24 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

4 suppliers18 claims25 services$3.47 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

5 suppliers26 claims650 services$4.85 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

5 suppliers31 claims459 services$2.09 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers15 claims525 services$8.33 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

4 suppliers40 claims835 services$5.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHARLOTTE TUGAOEN DELACRUZ FNP

Nurse Practitioner (Family)