Individual provider Active NPI

Thomas Gordon Crabtree, M.D.

  • Plastic Surgery Physician
  • Telluride, CO
National Provider Identifier
1801877394
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD-10310 Issued in HI
Practice address
307 E Colorado Avenue
Suite 104
Telluride, CO 81435-5096
Phone
(970) 837-7227
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD-10310 HI Primary

Addresses

Primary practice location

307 E Colorado Avenue
Suite 104
Telluride, CO 81435-5096

Mailing address

970 N Kalaheo Ave
Suite C-108
Kailua, HI 96734-1866
Phone (808) 226-9220

Other practice location 1

970 N Kalaheo Ave
Suite c-108
Kailua, HI 96734-1866
Phone (808) 226-9220

Other identifiers 1

IdentifierTypeStateIssuer
00B0284394OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CO2 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

Enrollment IDStateProvider typePAC IDDetails
I20090930000368 HI Practitioner - Plastic and Reconstructive Surgery 6901942259 Practice locations: Kailua, HI
I20240703001188 CO Practitioner - Dermatology 6901942259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Derma, LLCGroup PAC ID 2466424072, 20 clinicians

Practice addresses (Care Compare)

261 Robinson St
Suite C100
Basalt, CO 81621-8387
Phone (970) 927-2800

Merit-based Incentive Payment System (MIPS)

Final score
95.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Derma, LLC CurrentSince Jun 19, 2024 Accepting new patients

Locations

261 Robinson St
Ste C100
Basalt, CO 81621
Phone (970) 927-2800

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: thomas.crabtree@epiphanyderm.emadirect.md

Organizations & group practices 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1801877394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE C-108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-226-9220",
            "fax_number": "808-218-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E COLORADO AVENUE",
            "address_2": "SUITE 104",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814355096",
            "telephone_number": "970-837-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 N Kalaheo Ave",
            "address_2": "Suite c-108",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967341866",
            "country_code": "US",
            "telephone_number": "808-226-9220",
            "fax_number": "808-218-7891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "THOMAS",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "HI",
            "license": "MD-10310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00B0284394",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Telluride, CO

Sources for this page

Verify at the official NPI Registry.