Individual provider Active NPI

Peter Duke Crane, MD

  • Interventional Pain Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1730134362
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME156458 Issued in FL
Practice address
595 N Courtenay Pkwy Ste 101
Merritt Island, FL 32953-4852
Phone
(321) 784-8211
Fax
(321) 394-9425
NPI assigned
May 23, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101231483 VA
Interventional Pain Medicine Physician 208VP0014X ME156458 FL Primary

Addresses

Primary practice location

595 N Courtenay Pkwy Ste 101
Merritt Island, FL 32953-4852

Mailing address

1651 N Parham Rd
Richmond, VA 23229-4605
Phone (804) 288-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051116000175 FL Practitioner - Pain ManagementPractitioner - Interventional Pain Management 8426098179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Pain Relief Center IncGroup PAC ID 6002715158, 33 clinicians

Practice addresses (Care Compare)

595 N Courtenay Pkwy
Suite 101
Merritt Island, FL 32953-4852
Phone (321) 784-8211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME156458FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Pain Relief Center, Inc. CurrentSince Jan 9, 2023 Accepting new patients
Southeast Pain Management Services, PLLC Pain Medicine Past Accepting new patients
Pain Consultants of West Florida PastSince Apr 11, 2021 Accepting new patients

Locations

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

595 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 784-8211

595 N Courtenay Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 784-8211

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: duke.crane.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1730134362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294605",
            "telephone_number": "804-288-8204",
            "fax_number": "804-282-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N COURTENAY PKWY STE 101",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534852",
            "telephone_number": "321-784-8211",
            "fax_number": "321-394-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "PETER",
        "middle_name": "DUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101231483",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME156458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.