DR. TERRY LEE CROASDALE (M.D.) – Internal Medicine Physician, NPI 1295713147
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for DR. TERRY LEE CROASDALE (M.D.)
East North Street, Manteca, San Joaquin County, California, 95336-40109, United States
MANTECA, CA 953364962
Phone: (209) 823-7646
Fax: (209) 239-9594
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Currax Pharmaceuticals LLC ($50).
Total Amount
$84
General + Research + Ownership
Payments
4
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Currax Pharmaceuticals LLC | $50 |
| Sumitomo Pharma America, Inc. | $18 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2005-04-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050418001179 | I | Internal Medicine | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,603 | 369 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 590 | 89 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 561 | 84 | $0 |
| G0008 | Administration of influenza virus vaccine | 149 | 149 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 136 | 136 | $0 |
Insurance plans in this area (ZIP 95336)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Family Practice | CA |
Reviews
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