Gregory R Crisp, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD61241332 Issued in WA

Practice address

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138

Phone

(509) 363-3100

Fax

(509) 363-0300

NPI assigned

Jun 1, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, ID2 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

AnesthesiologyAlso: Pain Management

Education

University of Arizona College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T Daniel Dibble MD PCGroup PAC ID 1254320922, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.98 of 100Reported as individual

Quality

83.5

Improvement activities

40

Cost

55.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spineteamspokane.gregorycrisp@156405.advancedmd-direct.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.

• T Daniel Dibble MD PC

  dba Spine Team Spokane

  • Interventional Pain Medicine Physician
  • Spokane Valley, WA
  • NPI 1780754499

  Anesthesiology, ID

  Medicare reassignment Care Compare group NPD
• T Daniel Dibble MD PC

  dba Spine Team Spokane

  • Interventional Pain Medicine Physician
  • Spokane, WA
  • NPI 1346082344
  NPD

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1649708744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "990370808",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N EVERGREEN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161138",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181206",
            "country_code": "US",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 N Kegley Rd",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765024069",
            "country_code": "US",
            "telephone_number": "254-215-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISP",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD61241332",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD61241332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MD61241322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Creek
• Leah Crespin, RN
• Bryan Donald Cress, DNP, PNP
• Scott James Crews, DDS
• Julie Anne Criddle, LMT
• Allen Crist, RPH
• Diane C Critchlow
• Jaime N Crocker, NP
• Maggie Makay Crockett, FNP-C
• Kyle Daniel Croft, OT

• Pain Medicine (Anesthesiology) Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.