DR. CARLY CROWDER (M.D.) – Obstetrics & Gynecology Physician, NPI 1043743628

DR. CARLY CROWDER (M.D.) is a healthcare provider. based in Orange, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A161954 (CA). The NPI Number for DR. CARLY CROWDER (M.D.) is 1043743628

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLY CROWDER (M.D.)
NPI
1043743628
Phone
(714) 456-2986
Address
200 S MANCHESTER AVE STE 300
Enumeration Date
10 April 2017
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567002
Graduation Year
2017 (9 years ago)
PAC ID
7517291289
Group Practice PAC ID
0143128009
Professional Enrollment ID
I20210507002169
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. CARLY CROWDER (M.D.)

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-2986

    Type: Mailing

  • 333, City Boulevard West, Outlets at Orange, Orange, Orange County, California, 92868, United States

    SUITE 1400

    ORANGE, CA 928682903

    Phone: (714) 456-5616

    Fax: (714) 456-8360

    Type: Mailing

  • UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States

    UCI MEDICAL CENTER

    ORANGE, CA 928683201

    Phone: (714) 456-8224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $2,021.

Total Amount is formed as General ($2,021) + Research ($0) + Ownership ($0) = $2,021.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($881).

Total Amount

$2,021

General + Research + Ownership

Payments

19

Total payment records

General Amount

$2,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210507002169IObstetrics/GynecologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92868)

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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: 0143128009View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Obstetrics/Gynecology, Gynecological OncologyCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CARLY CROWDER (M.D.)'s NPI?
Yes. DR. CARLY CROWDER (M.D.) is listed with NPI 1043743628 in the public NPI dataset.
Does the file indicate DR. CARLY CROWDER (M.D.) is practicing under active NPI?
Directory data currently reports DR. CARLY CROWDER (M.D.) as active.
What is DR. CARLY CROWDER (M.D.) best known for clinically?
Directory data describes DR. CARLY CROWDER (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CARLY CROWDER (M.D.)?
DR. CARLY CROWDER (M.D.)'s geographic hint is Orange, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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