Active NPI 1366702870 Individual Practitioner Female Practitioner

Dr. Crystal Vaughn Manse , MD

Internal Medicine • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Crystal Manse, MD is a registered healthcare professional specializing in Internal Medicine in O Fallon, IL. Practice services are available at 3 SAINT ELIZABETH BLVD STE 4000 under active NPI credentials.

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 moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Saint Elizabeth Blvd Ste 4000

O Fallon, IL 622691284

Telephone 6182335480

Fax 6182224792

Associated Practice Facility / Clinic

🏢 Southern Illinois Healthcare Foundation Inc Facility NPI 1225556996

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in O Fallon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

4 Specialists

Practicing in O Fallon, IL (7544 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	564	223	$432.40	$77.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	200	116	$618.79	$116.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	113	$1197.11	$170.79
99239 Hospital discharge day management, more than 30 minutes	59	58	$652.92	$112.26
99238 Hospital discharge day management, 30 minutes or less	31	31	$439.71	$79.12
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$999.00	$176.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	13	$554.00	$104.61
99306 Initial nursing facility visit, typically 45 minutes per day	15	12	$999.00	$178.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	12	$554.00	$105.37
99497 Advance care planning, first 30 minutes	14	14	$470.00	$73.70

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	337	140	$415.36	$79.45
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	173	110	$528.25	$105.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	79	$592.67	$119.52
99306 Initial nursing facility visit, typically 45 minutes per day	89	84	$952.08	$180.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	86	$1148.25	$174.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	85	37	$528.91	$105.42
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	24	$783.96	$152.04
99238 Hospital discharge day management, 30 minutes or less	25	25	$429.76	$80.53
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$956.05	$180.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	13	$401.00	$74.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	255	240	$1086.67	$200.37
99497 Advance care planning, first 30 minutes	174	167	$425.51	$78.38
99220 Hospital observation care, typically 70 minutes	76	75	$997.66	$179.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	68	59	$382.76	$68.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	39	$398.96	$70.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	29	$387.25	$68.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	30	$572.36	$102.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	32	$508.31	$89.60
99306 Initial nursing facility visit, typically 45 minutes per day	26	26	$913.85	$163.78
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	17	$508.00	$89.58
99306 Initial nursing facility visit, typically 45 minutes per day	22	21	$915.45	$163.63
99318 Nursing facility annual assessment, typically 30 minutes	16	16	$523.00	$94.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	365	338	$1036.13	$203.51
99497 Advance care planning, first 30 minutes	285	268	$405.84	$79.50
99220 Hospital observation care, typically 70 minutes	175	168	$955.03	$184.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	359	347	$986.64	$209.15
99497 Advance care planning, first 30 minutes	313	301	$386.52	$81.08
99220 Hospital observation care, typically 70 minutes	107	105	$907.79	$191.33
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$486.00	$106.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	280	263	$923.34	$208.80
99497 Advance care planning, first 30 minutes	233	226	$363.11	$81.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	65	$307.76	$74.98
99220 Hospital observation care, typically 70 minutes	37	37	$851.38	$191.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	20	$435.35	$107.06
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$455.60	$106.25
99238 Hospital discharge day management, 30 minutes or less	17	17	$260.82	$74.51
99239 Hospital discharge day management, more than 30 minutes	14	14	$481.00	$109.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$454.50	$141.19

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	188	149	$230.29	$74.39
99238 Hospital discharge day management, 30 minutes or less	37	36	$238.49	$74.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$672.25	$207.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$310.06	$106.63

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	37	22	$147.84	$72.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$387.00	$206.66

Medical Specialties & State Licenses

CMS Verified: 2024-09-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036139867

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

General Practice

NUCC Taxonomy Code: 208D00000X

State License VA 0101255760

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IL 036139867

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1366702870 (TX)

Secondary Practice Locations

375th Medical Group, 310w Losey St

Scott Afb, IL 62225

Phone: 6182567799

2200 Bergquist Dr, Wilford Hall Ambulatory Surgical Center

Lackland A F B, TX 782369907

Phone: 2102927805

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Mara Downing , MD

Student in an Organized Health Care Education/Training Program

NPI 1003756461

Doctor of Medicine (M.D.)

Dr. Benjamin Wood , MD

Student in an Organized Health Care Education/Training Program

NPI 1043834864

Doctor of Medicine (M.D.)

Dr. Salsapela Shaban , MD

Student in an Organized Health Care Education/Training Program

NPI 1063351872

Doctor of Medicine (M.D.)

Sally Muich , NP

Nurse Practitioner - Gerontology

NPI 1063515385

Nurse Practitioner

Dr. Brett Nance , DO

Family Medicine

NPI 1144515610

Doctor of Osteopathic Medicine (D.O.)

Anam Shabbir

Student in an Organized Health Care Education/Training Program

NPI 1275238321

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location September 12, 2024

Registered at 3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 622691284 (Tel: 6182335480)

📍

Updated Business Mailing Address September 12, 2024

Registered at 3 SAINT ELIZABETH BLVD, O FALLON, IL 622691281 (Tel: 6182342120)

👤

Provider Name / Credentials Updated September 12, 2024

Recorded as CRYSTAL MANSE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

General Practice (License #0101255760 in VA)

📍

Updated Practice Location April 30, 2018

Registered at 375TH MEDICAL GROUP, 310W LOSEY ST, SCOTT AFB, IL 62225 (Tel: 6182567799)

📍

Updated Business Mailing Address April 30, 2018

Registered at 375TH MEDICAL GROUP, 310 W LOSEY ST, SCOTT AIR FORCE BASE, IL 622255250 (Tel: 6182569355)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2018

Internal Medicine (License #036139867 in IL)

✅

NPI Profile Active August 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2016

Registered at 2200 BERGQUIST DR, WILFORD HALL AMBULATORY SURGICAL CENTER, LACKLAND A F B, TX 782369907 (Tel: 2102927805)

📍

Updated Business Mailing Address August 29, 2016

Registered at 310W LOSEY ST, INTERNAL MEDICINE CLINIC, SCOTT AIR FORCE BASE, IL 622255250 (Tel: 6182569355)

👤

Provider Name / Credentials Updated August 29, 2016

Recorded as CRYSTAL KONDOWE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

General Practice (License #0101255760 in VA)

🟢

Initial NPI Registration & Enumeration May 18, 2012

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: 1366702870

Entity Type:

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

Enumeration Date: May 18, 2012

Last Update: September 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Saint Elizabeth Blvd

O Fallon, IL 622691281

Phone: 6182342120

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.