CHARLES A CRUMLEY (MD) – Surgery Physician, NPI 1932147519
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
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Provider Addresses for CHARLES A CRUMLEY (MD)
3004, West Cumberland Avenue, Stony Fork Junction, Middlesboro, Bell County, Kentucky, 40965, United States
MIDDLESBORO, KY 409652343
Phone: (606) 248-4131
Fax: (606) 248-4133
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)
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: 2007-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070716000639 | I | General Surgery | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40965)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KY | 45378 | Diagnostic examination of large bowel using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WV | |
| General Surgery | MN | |
| Physician Assistant | WV | |
| - | KY | |
| Diagnostic Radiology | WV | |
| Interventional Cardiology | MD | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | OH | |
| Endocrinology, Internal Medicine | NY | |
| Orthopedic Surgery | MS | |
| Nurse Practitioner | KY |
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