MARK ALAN CRANDALL (MD) – Cardiovascular Disease Physician, NPI 1619096278

MARK ALAN CRANDALL (MD) is a healthcare provider. based in Columbus, Ohio. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 49699 (MN). The NPI Number for MARK ALAN CRANDALL (MD) is 1619096278

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALAN CRANDALL (MD)
NPI
1619096278
Phone
(614) 293-8000
Address
473 W 12TH AVE STE 200
Enumeration Date
28 March 2007
Last Update Date
28 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
0840381570
Group Practice PAC ID
1052217478
Professional Enrollment ID
I20120807000827
Address ID
ID833013486TW746XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH

Provider Addresses for MARK ALAN CRANDALL (MD)

  • 473 W 12TH AVE STE 200

    COLUMBUS, OH 432101252

    Phone: (614) 293-8000

    Type: Mailing

  • 473 W 12th Ave Ste 200

    Columbus, OH 432101252

    Phone: (614) 293-8000

    Type: Location

  • 775 POLE LINE RD W STE 112

    TWIN FALLS, ID 833015819

    Phone: (208) 814-8200

    Fax: (208) 933-4921

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Boston Scientific Corporation ($162).

Total Amount

$336

General + Research + Ownership

Payments

9

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2012-08-07

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
I20120807000827ICardiovascular Disease (Cardiology)IDTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,6821,312$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function328323$0
99213Established patient office or other outpatient visit, 20-29 minutes312276$0
99214Established patient office or other outpatient visit, 30-39 minutes263195$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14173$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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Provider's Procedures

MARK ALAN CRANDALL (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies6363
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report918781
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report11468

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: 1052217478View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)ID
Clinical PsychologistND
A N E S T H E S I O L O G YID
-UT
Diagnostic RadiologyOR
Physician AssistantID
Family PracticeID
O B S T E T R I C S/ G Y N E C O L O G YID
Nurse PractitionerID

Reviews

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Frequently asked questions

What is the registry number for MARK ALAN CRANDALL (MD)?
The registry entry for MARK ALAN CRANDALL (MD) shows NPI 1619096278.
Quick check: is MARK ALAN CRANDALL (MD) active?
Public NPPES data shows MARK ALAN CRANDALL (MD) with an active NPI status right now.
What services align with MARK ALAN CRANDALL (MD)'s listing?
MARK ALAN CRANDALL (MD)'s public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is MARK ALAN CRANDALL (MD) tied to Columbus, Ohio?
If you are local to Columbus, Ohio, MARK ALAN CRANDALL (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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