Provider Type Icon

DR. RODERIC CLAYTON CRIST MD NPI 1033180120


NPI Information

NPI: 1033180120
Provider Name: DR. RODERIC CLAYTON CRIST, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3095 LEXINGTON AVE
SUITE 200
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 339-0004
Get Directions

DR. Roderic Clayton Crist, MD is a family medicine in Cape Girardeau, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Roderic Clayton Crist, MD NPI is 1033180120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3095 LEXINGTON AVE
SUITE 200
CAPE GIRARDEAU, MO
ZIP 63701-602
Phone: (573) 339-0004

The NPI 1033180120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Urinalysis, manual test (HCPCS:81002)
  • Hemoglobin A1C level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Destruction of skin growth (HCPCS:17000)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 1/28/2006 and was last updated on 8/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineR2H52MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E59394MEDICARE UPINMISSOURI
2000095535MEDICARE OSCAR/CERTIFICATIONMISSOURI
3820571426OTHERMISSOURITRICARE
4080192016OTHERMISSOURIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.