Charles D. Crum, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

N4997 Issued in TX

Practice address

627 Turtle Creek Dr
Tyler, TX 75701-1832

Phone

(903) 593-2539

Fax

(903) 593-0559

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Texas Tech University Health Science Center School of Medicine, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians

Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians

Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians

Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians

Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians

Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

Norcal ImagingGroup PAC ID 7911099346, 79 clinicians

Radnet Medical Imaging-San FranciscoGroup PAC ID 9830283761, 35 clinicians

Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
• Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
• Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Merit-based Incentive Payment System (MIPS)

Final score

86.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

78.24 of 100Reported as group

Quality

51.34

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Improvement activities

0

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Cost

77.19

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (39 of 40)

Locations (25 of 29)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ccrum355817@ahs.direct-ci.com

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.

• Innovative Radiology PA

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1568400810

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1700821972

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1720023997

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Arizona Diagnostic Radiology Group, LLC

  • Diagnostic Radiology Physician
  • Gilbert, AZ
  • NPI 1336757699

  TX

  Medicare reassignment Care Compare group
• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1962457812

  TX

  Medicare reassignment Care Compare group
• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147

  TX

  Medicare reassignment Care Compare group
• Diagnostic Radiological Imaging

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1710931910

  TX

  Medicare reassignment Care Compare group
• Fresno Imaging Center

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1659456499

  TX

  Medicare reassignment Care Compare group
• Modesto Advanced Diagnostic Imaging Medical Center

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1730133893

  TX

  Medicare reassignment Care Compare group
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Concord, CA
  • NPI 1003965997

  TX

  Medicare reassignment Care Compare group
• Radnet Medical Imaging-San Francisco

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1548345382

  TX

  Medicare reassignment Care Compare group

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

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824

  Hospital

  Care Compare affiliation
• Christus Hopkins Health Alliance

  • General Acute Care Hospital
  • Sulphur Springs, TX
  • NPI 1033568621

  Hospital

  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439

  Hospital

  Care Compare affiliation
• Texas Spine and Joint Hospital, LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1942292255

  Hospital

  Care Compare affiliation
• Tyler Regional Hospital LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1407364847

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1487828596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539",
            "fax_number": "903-593-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N4997",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "81062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossway Family Health Center PLLC
• Mona Crow, PTA
• Tina Crow
• Tommy Leigh Crow, RBT
• Deborah Jean Crowley, M.D.
• Tabitha D Crumpton
• Whitny Crutcher
• Andrew Stuart Crutchfield, MD
• Ashley Crutchfield, FNP-C
• John Stuart Crutchfield, M.D.

• All providers in Tyler, TX
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.