TAYLOR EVAN CRIST – Plastic and Reconstructive Surgery Physician, NPI 1578068805

TAYLOR EVAN CRIST is a healthcare provider. based in Fort worth, Texas. specializing in HAND SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold a License No. W0548 (TX). The NPI Number for TAYLOR EVAN CRIST is 1578068805

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR EVAN CRIST
NPI
1578068805
Phone
(817) 529-9199
Address
800 8TH AVE STE 206
Enumeration Date
28 March 2018
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
8175299199
Graduation Year
2018 (8 years ago)
PAC ID
8527555812
Group Practice PAC ID
1254681844
Professional Enrollment ID
I20251011000006
Address ID
TX761042619FO800XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

266 HAND SURGERY in TX

Provider Addresses for TAYLOR EVAN CRIST

  • 800 8TH AVE STE 206

    FORT WORTH, TX 761042619

    Phone: (817) 529-9199

    Type: Mailing

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 355-1122

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $537.

Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: ABBVIE INC. ($131).

Total Amount

$537

General + Research + Ownership

Payments

7

Total payment records

General Amount

$537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

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: 2025-10-11

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
I20251011000006IPlastic And Reconstructive SurgeryTXTBD

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 76104)

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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: 1254681844View full group profile
NameSpecialtyState
Physician AssistantTX
P O D I A T R YCA
Plastic And Reconstructive Surgery, Hand SurgeryWV
Nurse PractitionerTX
Plastic And Reconstructive SurgeryTX
Plastic And Reconstructive SurgeryWA
Plastic And Reconstructive SurgeryTX
Plastic And Reconstructive SurgeryKS

Reviews

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Frequently asked questions

Can I cross-check TAYLOR EVAN CRIST using NPI 1578068805?
NPI 1578068805 belongs to TAYLOR EVAN CRIST; compare other details if you need extra assurance.
Would TAYLOR EVAN CRIST appear as active to a payer?
You can treat TAYLOR EVAN CRIST as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TAYLOR EVAN CRIST?
TAYLOR EVAN CRIST's record emphasizes Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TAYLOR EVAN CRIST?
Directory geography for TAYLOR EVAN CRIST centers on Fort Worth, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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