RUSSELL D CRAWFORD (DO) – Anesthesiology Physician, NPI 1609968635

RUSSELL D CRAWFORD (DO) is a healthcare provider. based in Nampa, Idaho. specializing in Anesthesiology Physician. They hold the professional credentials DO. They hold a License No. O-0405 (ID). The NPI Number for RUSSELL D CRAWFORD (DO) is 1609968635

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL D CRAWFORD (DO)
NPI
1609968635
Phone
(208) 463-5029
Address
1512 12th Ave Rd
Enumeration Date
28 September 2006
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
2084635029
Graduation Year
2002 (24 years ago)
PAC ID
7416953419
Group Practice PAC ID
5193742625
Professional Enrollment ID
I20061016000128
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for RUSSELL D CRAWFORD (DO)

  • 1512 12th Ave Rd

    Nampa, ID 836866008

    Phone: (208) 463-5029

    Type: Location

  • Saint Alphonsus Medical Center, 1512, 12th Avenue Road, Nampa, Canyon County, Idaho, 83686, United States

    NAMPA, ID 836866008

    Phone: (208) 463-5029

    Type: Mailing

  • PO BOX 7411114

    CHICAGO, IL 606741114

    Phone: (208) 367-5170

    Fax: (208) 367-5180

    Type: Mailing

  • 1055 N CURTIS RD

    BOISE, ID 837061309

    Phone: (208) 367-5170

    Fax: (208) 367-5180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: ACCORD HEALTHCARE, INC. ($18).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

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: 2006-10-16

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
I20061016000128IAnesthesiologyIDTBD

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
00910Anesthesia for other procedure on urinary system through urethra1918$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 83686)

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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: 5193742625View full group profile

Reviews

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Frequently asked questions

What number should I use to identify RUSSELL D CRAWFORD (DO) for billing?
Administrative and clinical systems typically use NPI 1609968635 for RUSSELL D CRAWFORD (DO).
Quick check: is RUSSELL D CRAWFORD (DO) active?
Public NPPES data shows RUSSELL D CRAWFORD (DO) with an active NPI status right now.
How should patients interpret RUSSELL D CRAWFORD (DO)'s specialty?
The extract shows Anesthesiology Physician for RUSSELL D CRAWFORD (DO). Clinical services aligned with this taxonomy classification.
Is RUSSELL D CRAWFORD (DO) tied to Nampa, Idaho?
If you are local to Nampa, Idaho, RUSSELL D CRAWFORD (DO) may be relevant to your search.
Can I export RUSSELL D CRAWFORD (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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