LARRY VAN THOMAS CRISCO (MD) – Interventional Cardiology Physician, NPI 1952395782
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
614 INTERVENTIONAL CARDIOLOGY in FL
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Provider Addresses for LARRY VAN THOMAS CRISCO (MD)
3901, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
SUITE 221
JACKSONVILLE, FL 322164392
Phone: (904) 423-0010
Fax: (904) 423-0012
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 154 Open Payments records for all available years, with a total value of $6,842.
Total Amount is formed as General ($6,842) + Research ($0) + Ownership ($0) = $6,842.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Medtronic, Inc. ($1,424).
Total Amount
$6,842
General + Research + Ownership
Payments
154
Total payment records
General Amount
$6,842
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,424 |
| Boston Scientific Corporation | $1,265 |
| ABIOMED | $926 |
| ShockWave Medical, Inc | $742 |
| Shockwave Medical, Inc | $208 |
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: 2013-08-23
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 |
|---|---|---|---|---|
| I20130823000908 | I | Interventional Cardiology | FL | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 325 | 279 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 312 | 249 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 273 | 56 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 228 | 101 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 225 | 196 | $0 |
Insurance plans in this area (ZIP 32216)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | FL | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 50 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
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