CRYSTAL LEE MACCLINTOCK RPA-C
NPI 1700024783
Physician Assistant - Medical in Dover Foxcroft, ME
Quality Rating: 89.78 out of 100 score
NPI Status: Active since January 28, 2009
Contact Information
891 W MAIN ST
SUITE 200
DOVER FOXCROFT, ME
ZIP 04426
Phone: (207) 564-4464
- Individual
- Female
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About CRYSTAL MACCLINTOCK
This page provides the complete NPI Profile along with additional information for Crystal Macclintock, a primary care provider established in Dover Foxcroft, Maine with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1700024783 assigned on January 2009. The practitioner's primary taxonomy code is 363AM0700X with license number PA1455 (ME). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1700024783
- Provider Name
- CRYSTAL LEE MACCLINTOCK RPA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426
- Location Phone
- (207) 564-4464
- Mailing Address
- 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426
- Mailing Phone
- (207) 564-4464
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-28-2009
- Last Update Date
- 12-23-2020
- Code Navigator
A primary care provider (PCP) like Crystal Macclintock sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA1455
- License State
- ME
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Crystal Macclintock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.78, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 89.78 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.09
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for CRYSTAL LEE MACCLINTOCK RPA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 0 | 2 | 4 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 0 | 2 | 8 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 0 + 2 + 8 + 7 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1700024783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104862903 | PAMELA J.W. NOURSE M.D. Individual | Surgery | 891 W MAIN ST SUITE 700 DOVER FOXCROFT, ME 04426 (207) 564-4466 |
| 1659484491 | JEFFREY ALLEN COLE DO Individual | Surgery | 891 W MAIN ST SUITE 700 DOVER FOXCROFT, ME 04426 (207) 564-4466 |
| 1205936606 | JOANNE REINIGER PAC Individual | Physician Assistant (Medical) | 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426 (207) 564-4464 |
| 1093741217 | MARGARET SWAN PA-C Individual | Physician Assistant | 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426 (207) 564-4464 |
| 1578958161 | JODY ANNIS Individual | Registered Nurse (Diabetes Educator) | 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426 (207) 564-4157 |
| 1548382328 | MRH CORP. Organization | Family Medicine | 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426 (207) 564-4464 |
| 1174503015 | NARASIMHA SWAMY Individual | Surgery | 891 W MAIN ST SUITE 500 DOVER FOXCROFT, ME 04426 (207) 564-4466 |
| 1063594653 | ABHIJIT SHALIGRAM MD Individual | Surgery | 891 W MAIN ST SUITE 700 DOVER FOXCROFT, ME 04426 (207) 564-4466 |
| 1861792483 | AHMAD ABED ELNOOR M.D. Individual | Urology | 891 W MAIN ST 500 DOVER FOXCROFT, ME 04426 (207) 564-4466 |
| 1508450677 | MR. KEVIN JOHN SHEASGREEN CNP Individual | Nurse Practitioner (Family) | 891 W MAIN ST DOVER FOXCROFT, ME 04426 (207) 564-4464 |
| 1740851799 | CLARE MARIE ABERCROMBIE DNP- APRN Individual | Nurse Practitioner (Adult Health) | 891 W MAIN ST DOVER FOXCROFT, ME 04426 (207) 564-4464 |
| 1346549979 | LISA MICHELLE STOUT DO Individual | Family Medicine | 891 W MAIN ST SUITE 200 DOVER FOXCROFT, ME 04426 (207) 564-4464 |
| 1477171015 | VITOR MARTINS DA SILVA MD Individual | Family Medicine | 891 W MAIN ST DOVER FOXCROFT, ME 04426 (207) 564-4464 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700024783, enumerated in the NPI registry as an "individual" on January 28, 2009
The provider is located at 891 W Main St Suite 200 Dover Foxcroft, Me 04426 and the phone number is (207) 564-4464
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
This NPI record was last updated on January 28, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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