Individual provider Active NPI

David M Crane, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Chesterfield, MO
National Provider Identifier
1144291089
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
2000161049 Issued in MO
Practice address
13353 Olive Blvd
Chesterfield, MO 63017-3108
Phone
(636) 778-2900
Fax
(636) 778-2828
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X E-11385 AR
Sports Medicine (Emergency Medicine) Physician 207PS0010X 2000161049 MO Primary
Sports Medicine (Emergency Medicine) Physician 207PS0010X ME124514 FL
Sports Medicine (Emergency Medicine) Physician 207PS0010X 01088509A IN

Addresses

Primary practice location

13353 Olive Blvd
Chesterfield, MO 63017-3108

Mailing address

13353 Olive Blvd
Chesterfield, MO 63017-3108
Phone (636) 778-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000270 MO Practitioner - Sports MedicinePractitioner - Emergency Medicine 0446280366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluetail Medical Group, LLCGroup PAC ID 1456599141, 3 clinicians

Practice addresses (Care Compare)

13353 Olive Blvd
Chesterfield, MO 63017-3108
Phone (636) 778-2900

160 Westmount Dr
Farmington, MO 63640-2970
Phone (636) 778-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.34 of 100Reported as group
Quality
1.72
Promoting interoperability
100
Improvement activities
0
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-11385ARMDSports Medicine (Emergency Medicine) Physician
ME124514FLMDSports Medicine (Emergency Medicine) Physician
01088509AINMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluetail Medical Group, LLC. Sports Medicine CurrentSince Jun 5, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
STL Plastic and Hand Surgery, Inc. Past Accepting new patients
Crane Clinic for Sports Performance Sports Medicine PastSince Apr 1, 2005 Accepting new patients

Locations

13353 Olive Blvd
Chesterfield, MO 63017
Phone (314) 200-4955

17300 North Outer 40 Rd
Ste 201
Chesterfield, MO 63005
Phone (636) 778-2815

2807 W Broadway
Ste 107
Columbia, MO 65203
Phone (573) 446-4000

160 Westmount Dr
Farmington, MO 63640
Phone (573) 701-0770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5924/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.crane.1@5924.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1144291089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13353 OLIVE BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173108",
            "telephone_number": "636-778-2900",
            "fax_number": "636-778-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13353 OLIVE BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173108",
            "telephone_number": "636-778-2900",
            "fax_number": "636-778-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "AR",
            "license": "E-11385",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MO",
            "license": "2000161049",
            "primary": true
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME124514",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "IN",
            "license": "01088509A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.