SEAN CRAWFORD (DO) – Adult Medicine Physician, NPI 1942839394

SEAN CRAWFORD (DO) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DO-06331 (IA). The NPI Number for SEAN CRAWFORD (DO) is 1942839394

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
SEAN CRAWFORD (DO)
NPI
1942839394
Phone
(918) 458-3100
Address
100 S Bliss Ave
Enumeration Date
7 April 2020
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6416767361
Graduation Year
2020 (6 years ago)
PAC ID
8325409527
Group Practice PAC ID
2769388677
Professional Enrollment ID
I20230803004464
Address ID
IA525771757OS201XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for SEAN CRAWFORD (DO)

  • 100 S Bliss Ave

    Tahlequah, OK 744642512

    Phone: (918) 458-3100

    Type: Location

  • 169 HIGHWAY 5

    SWAN, IA 502528612

    Phone: (515) 205-6416

    Type: Mailing

  • 100 S BLISS AVE

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3100

    Type: Location

  • 567 159TH PL

    OTLEY, IA 502148597

    Phone: (515) 205-6416

    Type: Mailing

  • 1229 C AVE E

    OSKALOOSA, IA 525774246

    Phone: (641) 672-3100

    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 $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Novo Nordisk Inc ($80).

Total Amount

$80

General + Research + Ownership

Payments

2

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$80
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: 2023-08-03

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
I20230803004464IFamily PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74464)

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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: 2769388677View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
-IA
-IA
Family Practice, Sports MedicineIA
Certified Registered Nurse Anesthetist (Crna)IA
Family PracticeIA
Nurse PractitionerIA
Family Practice, Obstetrics/GynecologyIA
Nurse PractitionerIA
Family PracticeIA

Reviews

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Frequently asked questions

Where can patients find SEAN CRAWFORD (DO)'s NPI?
You can confirm SEAN CRAWFORD (DO) with NPI 1942839394; it appears in the national provider directory.
Is SEAN CRAWFORD (DO) currently active in the NPI registry?
CMS-published data lists SEAN CRAWFORD (DO) as an active registrant.
Does SEAN CRAWFORD (DO) list a primary specialty?
If you are matching referrals, note Adult Medicine Physician for SEAN CRAWFORD (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for SEAN CRAWFORD (DO)?
The page summarizes Tahlequah, Oklahoma for SEAN CRAWFORD (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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