BETHANY CRISPIN (MD) – Family Medicine Physician, NPI 1255522629

BETHANY CRISPIN (MD) is a healthcare provider. based in Mc kee, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 42913 (KY). The NPI Number for BETHANY CRISPIN (MD) is 1255522629

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY CRISPIN (MD)
NPI
1255522629
Phone
(606) 287-7104
Address
1010 MAIN ST S
Enumeration Date
9 August 2007
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8592605540
Graduation Year
2007 (19 years ago)
PAC ID
3779651021
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20081014000339
Address ID
KY403566066NI610XXRDXX400

Contacts

Secure Messaging
bcrispin19145@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,718 FAMILY PRACTICE in KY

Provider Addresses for BETHANY CRISPIN (MD)

  • 1010 MAIN ST S

    MC KEE, KY 404477089

    Phone: (606) 287-7104

    Fax: (606) 287-4409

    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 $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($45).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2008-10-14

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
I20081014000339IFamily PracticeKYTBD

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
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza4341$0
81003Automated urinalysis test2625$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2524$0
71046X-ray of chest, 2 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 40447)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

How is BETHANY CRISPIN (MD) identified in CMS data?
CMS-hosted NPPES data lists BETHANY CRISPIN (MD) with NPI 1255522629.
Is BETHANY CRISPIN (MD) listed as active for patients and plans?
The listing shows BETHANY CRISPIN (MD) as active in the NPI system.
What healthcare role does BETHANY CRISPIN (MD) hold?
Scheduling teams often label BETHANY CRISPIN (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is BETHANY CRISPIN (MD) based?
BETHANY CRISPIN (MD) is tied to Mc Kee, Kentucky in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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