Active NPI 1477888964 Individual Practitioner Female Practitioner

Dr. Lya Crichlow , MD

Surgery • Braselton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lya Crichlow, MD is a certified Surgery practicing in Braselton, GA. With approximately 21 years of clinical experience since graduating from Icahn School Of Medicine At Mount Sinai in 2005, Dr. Crichlow delivers high-quality medical care to the local community at 1404 RIVER PL STE 201.

Dr. Crichlow is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1404 River Pl Ste 201

Braselton, GA 305175600

Telephone 7702199200

Associated Practice Facility / Clinic

🏢 Northeast Georgia Physicians Group Inc Facility NPI 1891745212

Medicare Profile & Education

Medical School

Icahn School Of Medicine At Mount Sinai

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Braselton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -1.8 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Braselton, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crichlow (21 Years) 21 Yrs

Braselton Specialty Average (22.8 Years) 22.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	30	$168.00	$74.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$309.00	$123.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$362.00	$150.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$236.00	$104.05
47562 Removal of gallbladder using an endoscope	14	14	$3352.00	$627.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$235.00	$120.44
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$226.00	$78.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	22	$155.46	$75.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$218.58	$105.29
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$209.47	$79.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$284.00	$124.40
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$144.57	$84.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$333.64	$156.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$216.38	$122.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	28	$148.54	$71.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	14	$85.00	$39.93
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$215.00	$100.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	35	$85.00	$40.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	37	$155.00	$75.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$295.00	$142.67
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$149.00	$97.78
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$220.00	$106.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$425.00	$209.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	26	$85.00	$42.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$155.00	$78.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$295.00	$149.41
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$144.23	$81.58
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$220.00	$110.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$221.36	$117.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$155.00	$77.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	16	$81.93	$41.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$120.38	$76.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	69	$116.54	$69.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	34	$117.05	$69.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$221.22	$132.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	31	$80.00	$41.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$172.00	$102.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$327.71	$188.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$172.08	$103.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$262.95	$156.75
47562 Removal of gallbladder using an endoscope	11	11	$1067.00	$633.89

Medical Specialties & State Licenses

CMS Verified: 2022-08-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 91546

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NC 2011-01359

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

1404 River Pl, Braselton, GA 305175600

Phone: 7708486190

Secondary Practice Locations

2934 N Elm St

Lumberton, NC 283582981

Phone: 9107390022

1 Medical Center Blvd

Chester, PA 190133902

Phone: 6106198480

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Angel Nichols , PA

Physician Assistant

NPI 1013730597

Physician Assistant

Dr. Nechol Allen , MD

Colon & Rectal Surgery

NPI 1033229083

Doctor of Medicine (M.D.)

Jordan Pruitt , PA

Physician Assistant

NPI 1033909130

Physician Assistant

Nermin Tepic

Physician Assistant - Surgical

NPI 1073988853

Lacey Miranda , PA

Physician Assistant - Surgical

NPI 1083190698

Physician Assistant

Dr. Christopher Soika , MD

Surgery

NPI 1164415790

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location April 25, 2022

Registered at 1404 RIVER PL STE 201, BRASELTON, GA 305175600 (Tel: 7702199200)

📍

Updated Business Mailing Address April 25, 2022

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

📍

Updated Business Mailing Address July 09, 2020

Registered at 1 MEDICAL CENTER BLVD, CHESTER, PA 190133902 (Tel: 6106198480)

✅

NPI Profile Active June 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 04, 2013

Registered at 2934 N ELM ST, LUMBERTON, NC 283582981 (Tel: 9107390022)

📍

Updated Business Mailing Address June 04, 2013

Registered at 2600 N ELM ST, LUMBERTON, NC 283583011 (Tel: 9102723051)

👤

Provider Name / Credentials Updated June 04, 2013

Recorded as LYA CRICHLOW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2013

Surgery (License #2011-01359 in NC)

🟢

Initial NPI Registration & Enumeration October 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477888964

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 16, 2009

Last Update: August 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.