MR. DOUGLAS CRANE PA-C
NPI 1750352415
Physician Assistant - Surgical in Baltimore, MD
Quality Rating: 100 out of 100 score
NPI Status: Active since January 31, 2006
Contact Information
3333 N CALVERT ST
SUITE 400
BALTIMORE, MD
ZIP 21218
Phone: (410) 932-0147
- Individual
- Male
- Years of Experience 26
- Physician Assistant
- Surgical
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DOUGLAS CRANE
This page provides the complete NPI Profile along with additional information for Douglas Crane, a provider established in Baltimore, Maryland with a medical specialization in Physician Assistant, focusing in surgical and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1750352415 assigned on January 2006. The practitioner's primary taxonomy code is 363AS0400X with license number C02282 (MD). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1750352415
- Provider Name
- MR. DOUGLAS CRANE PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3333 N CALVERT ST SUITE 400 BALTIMORE, MD 21218
- Location Phone
- (410) 932-0147
- Mailing Address
- 6712 AUTUMN VIEW CT SYKESVILLE, MD 21784
- Mailing Phone
- (410) 795-8862
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 11-05-2007
- Code Navigator
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 Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- C02282
- License State
- MD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 174400000X | Other Service Providers | Specialist | C0002282 (MD) |
2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | C02282 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
P19823 | MEDICARE UPIN (02) | MD | |
KL33G816 | MEDICARE PIN (08) | MD | |
KL09G814 | MEDICARE PIN (08) | MD |
Medicare Participation & PECOS Enrollment Status
Douglas Crane is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Douglas Crane 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
PECOS PAC ID: 840475059
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110504000295
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Prosthetic repair of shoulder joint, total shoulder
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
This service was performed 11 times for 11 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 20 times for 20 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 15 times for 15 patientsOverall 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 100, 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: 100 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: N/A
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: 100
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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Douglas Crane is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MEDSTAR UNION MEMORIAL HOSPITAL | 201 EAST UNIVERSITY PARKWAY BALTIMORE, MD 21218 | (410) 554-2227 | Acute Care Hospitals |
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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 | 5 | 0 | 3 | 5 | 2 | 4 | 1 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 5 | 4 | 4 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 5 + 4 + 4 + 2 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1750352415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1851394142 | DR. DAWN W. KERSHNER D.O. Individual | Internal Medicine (Cardiovascular Disease) | 3333 N CALVERT ST STE 500 BALTIMORE, MD 21218 (410) 366-5600 |
1952304370 | DR. DAVID A. GOLDSCHER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3333 N CALVERT ST STE 500 BALTIMORE, MD 21218 (410) 366-5600 |
1699778969 | DR. JOHN C. LASCHINGER M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 N CALVERT ST STE LL08 BALTIMORE, MD 21218 (410) 602-9262 |
1861486060 | DR. MARC A MUGMON M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3333 N CALVERT ST STE 500 BALTIMORE, MD 21218 (410) 366-5600 |
1417941444 | DAVID J SCHAMP MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 3333 N CALVERT ST SUITE 500 BALTIMORE, MD 21218 (410) 366-5600 |
1780665380 | MR. JOHN MICHAEL BIELAWSKI ATC, MSM Individual | Specialist/Technologist (Athletic Trainer) | 3333 N CALVERT ST SUITE 350 BALTIMORE, MD 21218 (410) 554-2253 |
1780643924 | DR. FRANK J. CRIADO M.D. Individual | Surgery (Vascular Surgery) | 3333 N CALVERT ST SUITE # 570 BALTIMORE, MD 21218 (410) 554-6400 |
1053372995 | DR. AJAY R PARIKH MD Individual | Urology | 3333 N CALVERT ST STE 605 JOHNSTON PROFESSIONAL BLDG BALTIMORE, MD 21218 (410) 889-8899 |
1689637522 | DR. WILLIAM H. BAUGHER M.D. Individual | Orthopaedic Surgery | 3333 N CALVERT ST 2ND FL BALTIMORE, MD 21218 (410) 235-5405 |
1013970748 | DR. RICHARD F. HEITMILLER M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 N CALVERT ST JOHNSTON PROF BLDG, STE 610 BALTIMORE, MD 21218 (410) 554-2063 |
1245294453 | DR. LESLIE S. MATTHEWS M.D. Individual | Orthopaedic Surgery | 3333 N CALVERT ST JOHNSTON PROF BLDG, STE 400 BALTIMORE, MD 21218 (410) 554-2270 |
1407810682 | DR. WILLIAM SPENCER-STRONG M.D. Individual | Obstetrics & Gynecology (Gynecology) | 3333 N CALVERT ST JOHNSTON PROF BLDG, STE 210 BALTIMORE, MD 21218 (410) 554-2223 |
1679537898 | DR. MICHAEL A. MCCLINTON M.D. Individual | Plastic Surgery | 3333 N CALVERT ST 2ND FL BALTIMORE, MD 21218 (410) 235-5405 |
1841256088 | JEFFREY M LATING PHD Individual | Psychologist (Cognitive & Behavioral) | 3333 N CALVERT ST SUITE 670 BALTIMORE, MD 21218 (410) 933-9000 |
1821054073 | DR. ARTHUR M HILDRETH MD Individual | Psychiatry & Neurology (Psychiatry) | 3333 N CALVERT ST STE 670 BALTIMORE, MD 21218 (410) 933-9000 |
1669439964 | DR. ROBERT G CUMMING MD Individual | Psychiatry & Neurology (Psychiatry) | 3333 N CALVERT ST SUITE 670 BALTIMORE, MD 21218 (410) 933-9000 |
1629025630 | MAEN J. FARHA M.D. Individual | Surgery | 3333 N CALVERT ST SUITE 655 BALTIMORE, MD 21218 (410) 321-8720 |
1679510762 | JOHN R SENATORE DPM Individual | Podiatrist | 3333 N CALVERT ST SUITE 550 BALTIMORE, MD 21218 (410) 243-1313 |
1225078538 | GEORGE S EVERLY JR. PHD Individual | Psychologist (Cognitive & Behavioral) | 3333 N CALVERT ST STE 670 BALTIMORE, MD 21218 (410) 243-8640 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750352415, enumerated in the NPI registry as an "individual" on January 31, 2006
The provider is located at 3333 N Calvert St Suite 400 Baltimore, Md 21218 and the phone number is (410) 932-0147
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 26 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. 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: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Prosthetic repair of shoulder joint, total shoulder, Replacement of knee joint, both sides of knee and Replacement of thigh bone and hip joint with prosthesis.
The practitioner is affiliated to the following hospital(s): MEDSTAR UNION MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 31, 2006. 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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