Individual provider Active NPI

Fred James Crapse Jr., D.O.

  • Surgery Physician
  • Bristow, OK
National Provider Identifier
1376512442
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3347 Issued in OK
Practice address
519 N Main St
Bristow, OK 74010-2016
Phone
(918) 701-2365
Fax
(918) 367-5272
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3347 OK Primary

Addresses

Primary practice location

519 N Main St
Bristow, OK 74010-2016

Mailing address

1809 E 13TH St Ste 300
Tulsa, OK 74104-4431
Phone (918) 701-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090205000682 OK Practitioner - General Surgery 4688738651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAlester Regional Health Center AuthorityGroup PAC ID 6709796436, 46 clinicians

Practice addresses (Care Compare)

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-6987

Hospital & facility affiliations

  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux73
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3347OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. Current Accepting new patients
McAlester Regional Health Center Authority CurrentSince May 1, 2024 Accepting new patients
St. John Physicians, Inc CurrentSince Feb 7, 2024 Accepting new patients
McAlester Ambulatory Surgery Center, LLC CurrentSince Sep 9, 2024 Accepting new patients
McAlester Regional Health Center Authority Past Accepting new patients
Ahs Oklahoma Physician Group LLC Surgery Past Accepting new patients

Locations

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • Direct secure messaging: fred.crapse@direct.mrhcok.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1376512442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044431",
            "telephone_number": "918-701-2313",
            "fax_number": "918-513-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102016",
            "telephone_number": "918-701-2365",
            "fax_number": "918-367-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAPSE",
        "first_name": "FRED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, OK

Sources for this page

Verify at the official NPI Registry.