Individual provider Active NPI

Russell Dean Crain, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1629091517
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14388 Issued in OK
Practice address
11011 Hefner Pointe Dr Ste B
Oklahoma City, OK 73120-5005
Phone
(405) 749-9399
Fax
(405) 751-8894
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14388 OK Primary

Addresses

Primary practice location

11011 Hefner Pointe Dr Ste B
Oklahoma City, OK 73120-5005

Mailing address

11011 Hefner Pointe Dr Ste B
Oklahoma City, OK 73120-5005
Phone (405) 749-7399

Other identifiers 1

IdentifierTypeStateIssuer
100124610AMedicaidOK

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
I20070212000631 OK Practitioner - Ophthalmology 1850309345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11011 Hefner Pointe Dr
Suite B
Oklahoma City, OK 73120-5005
Phone 40574993992

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14833OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Russell D Crain MD PC Ophthalmology CurrentSince Jan 31, 2007 Accepting new patients
Crain Optical LLC PastSince Feb 1, 2011 Accepting new patients

Locations

11011 Hefner Pointe Dr
Ste B
Oklahoma City, OK 73120
Phone (405) 749-9399

Interoperability endpoints

  • Direct secure messaging: russell.crain.1@17383.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1629091517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 HEFNER POINTE DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205005",
            "telephone_number": "405-749-7399",
            "fax_number": "405-751-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 HEFNER POINTE DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205005",
            "telephone_number": "405-749-9399",
            "fax_number": "405-751-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "RUSSELL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "14388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.