Craig Crismon, MD
NPI 1396702882 · Pediatrics Physician · Watertown, SD
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Craig Crismon, MD is a Pediatrics Physician provider in Watertown, SD (NPI 1396702882).
Provider details
- NPI number
- 1396702882
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 3693 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
239 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $127 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 55 | $9 |
| Hemoglobin A1c Level83036 | 44 | $10 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 40 | $34 |
Typical Medicare-allowed amounts for these services range $9–$127 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Insulin Degludecbrand: Tresiba Flextouch U-200 | 39 |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphet Er | 21 |
| Divalproex Sodiumbrand: Divalproex Sodium Er | 20 |
| Insulin Degludecbrand: Tresiba Flextouch U-100 | 19 |
| Semaglutidebrand: Ozempic | 18 |
| Escitalopram Oxalate | 17 |
| Doxepin Hcl | 15 |
| Baclofen | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$358 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Craig Crismon's NPI number?
- Craig Crismon's National Provider Identifier (NPI) is 1396702882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Craig Crismon's specialty?
- Craig Crismon is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Craig Crismon located?
- Craig Crismon's practice location on file with NPPES is 511 14th Ave Ne, Watertown, SD 57201-6811.
- What is Craig Crismon's phone number?
- The practice phone number listed in the NPPES registry for Craig Crismon is (605) 886-8482.
- Does Craig Crismon accept Medicare?
- Craig Crismon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Craig Crismon's NPI active?
- Yes — Craig Crismon's NPI (1396702882) is active in the NPPES registry as of the last update on 2025-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.