CHARLES A CRUMLEY MD
NPI 1932147519
Surgery in Middlesboro, KY

Q: What is Charles Crumley's NPI number?

The NPI number for Charles Crumley is 1932147519. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Charles Crumley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Crumley was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

3004 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 248-4131(606) 248-4133 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Charles A Crumley Md NPPES

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

CHARLES A CRUMLEY MD (NPI 1932147519) is an individual surgery provider in Middlesboro, Kentucky, licensed in North Carolina (9900198) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Pineville Community Health Center, Inc, and is a graduate of Wright State University Boonshoft School Of Medicine (1993).

NPPES Registry Identity

NPI1932147519

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameCHARLES A CRUMLEYCredential: MD

Location Address3004 CUMBERLAND AVEMiddlesboro, KY 40965-2343

Mailing Address3004 Cumberland AveMiddlesboro, KY 40965-2343 · (606) 248-4131 · Fax (606) 248-4133

Phone(606) 248-4131

Fax(606) 248-4133

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1993

Enumeration DateJune 3, 2006

Last NPPES UpdateOctober 20, 2011

✔ NPI 1932147519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NC · 9900198

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3004 CUMBERLAND AVE, Middlesboro, KY 40965

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Other Identifiers 4

Medicaid8911906NC

Medicare UPING91938NC

Other11906NC · Bcbsnc

Medicare ID-Type Unspecified2272427NC

Accepted Insurance

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

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

Charles A Crumley 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 ID547360836

PECOS Enrollment IDI20070716000639

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.

Hospital Affiliations CMS Care Compare

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

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180154

Location850 Riverview AvenuePineville, KY 40977 · Bell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

97.4/100

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

Scored through an Alternative Payment Model

Quality

76.55

Promoting Interoperability

100

Improvement Activities

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.

KAREN MCDANIEL ARNP

Nurse Practitioner (Family)

3004 CUMBERLAND AVE, MEDICAL ARTS BUILDING
MIDDLESBORO, KY 40965

Bell County (606) 248-4162

MR. THOMAS N EPPERSON III MD

Internal Medicine

3004 CUMBERLAND AVE, MEDICAL ARTS BLDG
MIDDLESBORO, KY 40965

Bell County (606) 248-3324

DR. NEIL G BARRY III MD

Internal Medicine

3004 CUMBERLAND AVE, MEDICAL ARTS BLDG
MIDDLESBORO, KY 40965

Bell County (606) 248-4162

PAMELA CAVINS NP-C

Nurse Practitioner (Family)

3004 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (626) 248-4162

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 Charles Crumley's NPI number?

The NPI number for Charles Crumley is 1932147519. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Charles Crumley located?

Charles Crumley practices at 3004 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 248-4131.

What is Charles Crumley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Crumley enrolled in Medicare?

Yes. Charles Crumley 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.

What insurance does Charles Crumley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BlueCross BlueShield of Tennessee and 1 other insurer list Charles Crumley 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 Charles Crumley affiliated with any hospitals?

According to CMS data, Charles Crumley is affiliated with Pineville Community Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Charles Crumley was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.