TIMOTHY A. CRUMP N.P
NPI 1750459343
Clinical Nurse Specialist - Acute Care in Birmingham, AL


Quality Rating: 95.16 out of 100 score

NPI Status: Active since December 01, 2006

Contact Information

48 MEDICAL PARK DR E
SUITE 453
BIRMINGHAM, AL
ZIP 35235
Phone: (205) 838-3895

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  • Individual
  • Male
  • Years of Experience 22
  • Clinical Nurse Specialist
  • Acute Care
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TIMOTHY CRUMP

This page provides the complete NPI Profile along with additional information for Timothy Crump, a provider established in Birmingham, Alabama with a medical specialization in Clinical Nurse Specialist, focusing in acute care and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1750459343 assigned on December 2006. The practitioner's primary taxonomy code is 364SA2100X with license number 1-072324 (AL). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1750459343
Provider Name
TIMOTHY A. CRUMP N.P
Gender
Male
Entity Type
Individual
Location Address
48 MEDICAL PARK DR E SUITE 453 BIRMINGHAM, AL 35235
Location Phone
(205) 838-3895
Mailing Address
2700 10TH AVE S SUITE 305 BIRMINGHAM, AL 35205
Mailing Phone
(205) 939-0139
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
12-01-2006
Last Update Date
07-25-2007
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A Clinical Nurse Specialist (CNS) like Timothy Crump is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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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

Clinical Nurse Specialist Acute Care

Taxonomy Code
364SA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1-072324
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Timothy Crump 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.

Timothy Crump 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: 1658330436

    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: I20041007000281

    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

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.57 for a new patient copayment and $23.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35235 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.31
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $30.57
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.72
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $23.43
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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 95.16, 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.

  • Final Score: 95.16 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.

  • Quality Score: 91.77

    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.

  • 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 TIMOTHY A. CRUMP N.P

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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.
1750459343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100851838
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 5 + 1 + 8 + 3 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1750459343 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053302497EASTERN MEDICAL SPECIALISTS, P.C.
Organization
Internal Medicine48 MEDICAL PARK DR E SUITE 457
BIRMINGHAM, AL 35235
(205) 838-3800
1366423584DR. JENNIFER S WHITE M.D.
Individual
Internal Medicine48 MEDICAL PARK DR E SUITE 457
BIRMINGHAM, AL 35235
(205) 838-3800
1114979838DR. DALTON ANTHONY BEDSOLE M.D.
Individual
Specialist48 MEDICAL PARK DR E SUITE 350
BIRMINGHAM, AL 35235
(205) 838-3040
1346293628 JAY CHARLES LONG M.D.
Individual
Surgery48 MEDICAL PARK DR E SUITE 150
BIRMINGHAM, AL 35235
(205) 833-6907
1679503460EASTSIDE WOMEN'S SPECIALISTS, P.C.
Organization
Obstetrics & Gynecology48 MEDICAL PARK DR E SUITE 456
BIRMINGHAM, AL 35235
(205) 838-6224
1447271663EASTERN UROLOGY ASSOCIATES, PA
Organization
Specialist48 MEDICAL PARK DR E SUITE 350
BIRMINGHAM, AL 35235
(205) 838-3040
1134233133 HUGH P. BRINDLEY D.M.D.,P.A.
Individual
Dentist (Oral and Maxillofacial Surgery)48 MEDICAL PARK DR E SUITE 158
BIRMINGHAM, AL 35235
(205) 838-3060
1881708287 JOHN THOMAS DAVIDSON MD
Individual
Obstetrics & Gynecology (Gynecology)48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM, AL 35235
(205) 838-3036
1003920430 JAMES R DOLLAR MD
Individual
Obstetrics & Gynecology (Gynecology)48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM, AL 35235
(205) 838-3036
1154435584EASTERN OBSTETRICS AND GYNECOLOGY, P.C.
Organization
Obstetrics & Gynecology48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM, AL 35235
(205) 838-3036
1275648412 CHRISTIAN M DEY MD
Individual
Obstetrics & Gynecology48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM, AL 35235
(205) 838-3036
1548375702 BRYAN PRUITT MD
Individual
Obstetrics & Gynecology48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM, AL 35235
(205) 838-3036
1992812887 HARRY B. WHEELOCK JR. P.A.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)48 MEDICAL PARK DR E SUITE 255
BIRMINGHAM, AL 35235
(205) 838-3090
1265596902 LINDA F. GRODNER OTR
Individual
Occupational Therapist48 MEDICAL PARK DR E SUITE 255
BIRMINGHAM, AL 35235
(205) 838-3090
1134264872DR. R REX PAYNE M.D.
Individual
Dermatology (Dermatopathology)48 MEDICAL PARK DR E SUITE 458
BIRMINGHAM, AL 35235
(205) 838-1811
1851518476 RICHARD G DIETHELM M.D.
Individual
Psychiatry & Neurology (Neurology)48 MEDICAL PARK DR E SUITE 351
BIRMINGHAM, AL 35235
(205) 836-9366
1801072673R REX PAYNE M D P C
Organization
Dermatology (Dermatopathology)48 MEDICAL PARK DR E SUITE 458
BIRMINGHAM, AL 35235
(205) 838-1811
1164696142MRS. LAUREN TOOHEY NYE MS, CCC-A
Individual
Audiologist48 MEDICAL PARK DR E SUITE 153
BIRMINGHAM, AL 35235
(205) 838-3755
1407016389CARDIOLGY EAST PA
Organization
Internal Medicine (Cardiovascular Disease)48 MEDICAL PARK DR E SUITE 453
BIRMINGHAM, AL 35235
(205) 838-3895
1982963351BALANCE ASSURANCE LLC
Organization
General Practice48 MEDICAL PARK DR E SUITE 250
BIRMINGHAM, AL 35235
(205) 838-6775

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750459343, enumerated in the NPI registry as an "individual" on December 01, 2006

The provider is located at 48 Medical Park Dr E Suite 453 Birmingham, Al 35235 and the phone number is (205) 838-3895

The provider's speciality is Clinical Nurse Specialist with taxonomy code 364SA2100X with a focus in Acute Care

The provider has more than 22 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. 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.

Medicare beneficiaries should expect a typical cost of $122.31 with an average copayment of $30.57 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 01, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.