JACKY LYNN CRAWFORD (M.D.) – Emergency Medicine Physician, NPI 1316986433

JACKY LYNN CRAWFORD (M.D.) is a healthcare provider. based in London, Kentucky. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35808 (KY). The NPI Number for JACKY LYNN CRAWFORD (M.D.) is 1316986433

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JACKY LYNN CRAWFORD (M.D.)
NPI
1316986433
Phone
Not provided
Address
75 VALLEYDALE LN
Enumeration Date
5 June 2006
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592584000
Graduation Year
1999 (27 years ago)
PAC ID
9638123391
Group Practice PAC ID
3476457532
Professional Enrollment ID
I20050307000169
Address ID
KY405042701LE1221XBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

Provider Addresses for JACKY LYNN CRAWFORD (M.D.)

  • 75 VALLEYDALE LN

    LONDON, KY 407449145

    Phone:

    Type: Mailing

  • 1 Trillium Way

    Corbin, KY 407018426

    Phone: (606) 528-1212

    Type: Location

  • 1221 S BROADWAY

    LEXINGTON, KY 405042701

    Phone: (859) 258-6200

    Fax: (859) 258-6203

    Type: Mailing

  • Baptist Health Corbin, 1, Trillium Way, Corbin, Whitley County, Kentucky, 40701, United States

    CORBIN, KY 407018426

    Phone: (606) 528-1212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-07

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
I20050307000169IFamily 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
99285Emergency department visit with high level of medical decision making10096$0
99284Emergency department visit with moderate level of medical decision making5857$0
View full utilization report →

Insurance plans in this area (ZIP 40744)

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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: 3476457532View full group profile

Reviews

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Frequently asked questions

How do I look up JACKY LYNN CRAWFORD (M.D.) by NPI?
Use NPI 1316986433 when you need to reference JACKY LYNN CRAWFORD (M.D.) in forms, claims, or directories.
Is JACKY LYNN CRAWFORD (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JACKY LYNN CRAWFORD (M.D.)'s specialty in plain language?
Clinically, the directory lists JACKY LYNN CRAWFORD (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JACKY LYNN CRAWFORD (M.D.) practice in Kentucky?
You will see London, Kentucky on file for JACKY LYNN CRAWFORD (M.D.) alongside any extra practice locations.
What if London, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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