DR. CHARLES D. CRUM (MD) – Diagnostic Radiology Physician, NPI 1487828596
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for DR. CHARLES D. CRUM (MD)
627, Turtle Creek Drive, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757011832
Phone: (903) 593-2539
Fax: (903) 593-0559
Type: Mailing
816 W CANNON ST
FORT WORTH, TX 761043146
Phone: (817) 321-0404
Type: Mailing
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: 2023-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110930000391 | I | Diagnostic Radiology | TX | TBD |
| I20230728003108 | I | Diagnostic Radiology | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 10,660 | 70 | $0 |
| 71045 | X-ray of chest, 1 view | 1,572 | 1,373 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,386 | 16 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 1,115 | 971 | $0 |
| 70450 | Ct scan head or brain without contrast | 775 | 722 | $0 |
Insurance plans in this area (ZIP 75701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 73110 | X-ray of wrist, minimum of 3 views | 89 | 84 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 167 | 130 |
| DIAGNOSTIC RADIOLOGY | TX | 73630 | X-ray of foot, minimum of 3 views | 174 | 169 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 519 | 509 |
| DIAGNOSTIC RADIOLOGY | TX | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | AZ | |
| - | CA | |
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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