DR. ROGER DALE JR. CRINER (MD) – Family Medicine Physician, NPI 1962417725

DR. ROGER DALE JR. CRINER (MD) is a healthcare provider. based in West memphis, Arkansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 41459 (TN). The NPI Number for DR. ROGER DALE JR. CRINER (MD) is 1962417725

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROGER DALE JR. CRINER (MD)
NPI
1962417725
Phone
(870) 735-1500
Address
200 W TYLER AVE
Enumeration Date
30 July 2006
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9015167000
Graduation Year
2003 (23 years ago)
PAC ID
1658327713
Group Practice PAC ID
4981052719
Professional Enrollment ID
I20061031000039
Address ID
TN381043415ME1265XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

Loading map...

Provider Addresses for DR. ROGER DALE JR. CRINER (MD)

  • East Central Arkansas Community Corrections Center, 200, West Tyler Avenue, West Memphis, Crittenden County, Arkansas, 72301, United States

    WEST MEMPHIS, AR 723014223

    Phone: (870) 735-1500

    Type: Location

  • 35, Wood Duck Cove, Jackson, Madison County, West Tennessee, Tennessee, 38305, United States

    JACKSON, TN 38305

    Phone: (731) 394-3001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061031000039IEmergency MedicineTNTBD
I20210729002100IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making174172$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only109109$0
99284Emergency department visit with moderate level of medical decision making8383$0
View full utilization report →

Insurance plans in this area (ZIP 72301)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981052719View full group profile
NameSpecialtyState
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency Medicine, Family PracticeTN
Emergency MedicineKS
Emergency MedicineTN
Emergency MedicineMO
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DR. ROGER DALE JR. CRINER (MD) in U.S. healthcare records?
The official identifier for DR. ROGER DALE JR. CRINER (MD) is NPI 1962417725.
Is there an active status for DR. ROGER DALE JR. CRINER (MD)?
For scheduling context, DR. ROGER DALE JR. CRINER (MD) is shown as active in the registry.
What clinical focus is listed for DR. ROGER DALE JR. CRINER (MD)?
At a glance, DR. ROGER DALE JR. CRINER (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Arkansas is DR. ROGER DALE JR. CRINER (MD) registered?
Use West Memphis, Arkansas as the headline location for DR. ROGER DALE JR. CRINER (MD) here.
When was this NPI issued?
Enumeration for DR. ROGER DALE JR. CRINER (MD) is noted as July 30, 2006 where the registry provides it.

Similar Providers

CLYDE R. SMITH (M.D.)

Family Medicine Physician
2100 N 7th St
NPI: 1881676526

STEPHEN SCOTT PIRTLE (MD)

Family Medicine Physician
900, North 7th Street, West Memphis, Crittenden County, Arkansas, 72301, United States
NPI: 1467436758

VALENCIA MARIE ANDREWS-PIRTLE (MD)

Family Medicine Physician
East Bond Avenue, West Memphis, Crittenden County, Arkansas, 72301, United States
NPI: 1255318093
East Central Arkansas Community Corrections Center, 200, West Tyler Avenue, West Memphis, Crittenden County, Arkansas, 72301, United States
NPI: 1750368759

DR. JOHN CHIN WAH (MD)

Family Medicine Physician
230, West Broadway Boulevard, West Memphis, Crittenden County, Arkansas, 72301, United States
NPI: 1467428847

COAST TO COAST MEDICAL, LLC

Family Medicine Physician
Horizon Drive, West Memphis, Crittenden County, Arkansas, 72303, United States
NPI: 1740214402

DR. ROLAND R BROWN (MD)

Family Medicine Physician
1403 HAMILTON HILL DR
NPI: 1134135031

SHARON E THORPE (FNP)

Family Medicine Physician
East Bond Avenue, West Memphis, Crittenden County, Arkansas, 72301, United States
NPI: 1831105733

DR. ROBERT T JR. SHULL (MD)

Family Medicine Physician
East Central Arkansas Community Corrections Center, 200, West Tyler Avenue, West Memphis, Crittenden County, Arkansas, 72301, United States
NPI: 1235145152