Active NPI 1790880490 Individual Practitioner Male Practitioner

Dr. Robert S Crausman , MD

Internal Medicine • Fall River, MA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Crausman, MD is a certified Internal Medicine practicing in Fall River, MA. With approximately 38 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1988, Dr. Crausman delivers high-quality medical care to the local community at 528 NEWTON ST.

Dr. Crausman is affiliated with Crausman Medical Associates Llc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, read by direct observation, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

528 Newton St

Fall River, MA 027212366

Telephone 5086751522

Fax 5086765647

Associated Practice Facility / Clinic

🏢 Trumed Incorporated Facility NPI 1326094905

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1988

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +9.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

68 Specialists

Practicing in Fall River, MA (7127 Statewide)

Telehealth Adoption Rate

41.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crausman (38 Years) 38 Yrs

Fall River Specialty Average (28.4 Years) 28.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	29	$300.00	$117.83
99213 Established patient office or other outpatient visit, typically 15 minutes	90	18	$225.00	$86.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	29	$300.00	$123.94
99213 Established patient office or other outpatient visit, typically 15 minutes	138	21	$225.00	$87.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	44	$246.01	$130.98
80305 Testing for presence of drug, read by direct observation	141	39	$40.00	$12.30
99213 Established patient office or other outpatient visit, typically 15 minutes	134	34	$178.55	$91.44
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	16	$22.75	$15.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	330	53	$127.82	$90.28
80305 Testing for presence of drug, read by direct observation	290	43	$40.00	$12.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	43	$206.02	$135.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	48	$91.13	$49.96
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	48	28	$30.00	$16.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	433	69	$117.01	$76.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	266	56	$90.00	$45.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	63	$190.00	$111.39
80305 Testing for presence of drug, read by direct observation	185	63	$40.00	$12.13
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	47	16	$50.00	$23.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	11	$160.00	$56.49
71048 X-ray of chest, minimum of 4 views	12	11	$64.45	$30.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	671	78	$44.60	$12.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	591	85	$194.61	$112.60
99213 Established patient office or other outpatient visit, typically 15 minutes	292	67	$138.03	$76.85
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	123	49	$52.57	$42.31
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	43	33	$105.16	$94.72
71048 X-ray of chest, minimum of 4 views	28	20	$98.61	$27.39
71046 X-ray of chest, 2 views	23	21	$80.00	$21.98
81002 Urinalysis, manual test	16	11	$11.00	$3.41
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	13	11	$63.92	$47.82
G0008 Administration of influenza virus vaccine	12	12	$22.50	$16.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	929	180	$42.00	$41.27
80305 Testing for presence of drug, read by direct observation	738	92	$45.00	$13.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	665	133	$195.00	$106.34
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	585	168	$93.91	$92.17
99213 Established patient office or other outpatient visit, typically 15 minutes	346	115	$140.00	$72.42
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	275	112	$46.47	$45.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	198	192	$300.00	$200.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	197	178	$200.00	$135.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	88	$150.00	$71.90
90471 Administration of 1 vaccine	34	19	$15.00	$14.78
81002 Urinalysis, manual test	25	16	$11.00	$3.41
71046 X-ray of chest, 2 views	25	24	$80.00	$23.32
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$55.00	$17.06
G0008 Administration of influenza virus vaccine	13	13	$15.00	$14.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,363	210	$42.00	$41.33
80305 Testing for presence of drug, read by direct observation	1,154	107	$45.00	$11.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,078	252	$194.99	$107.45
99213 Established patient office or other outpatient visit, typically 15 minutes	1,005	321	$140.05	$72.92
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	732	181	$94.00	$92.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	600	550	$300.00	$200.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	483	397	$200.00	$135.40
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	321	96	$47.00	$46.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	259	171	$150.00	$71.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$150.00	$116.16
81002 Urinalysis, manual test	113	80	$11.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	111	97	$55.00	$17.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$240.00	$108.40
87804 Detection test by immunoassay with direct visual observation for influenza virus	88	42	$40.00	$15.40
80053 Blood test, comprehensive group of blood chemicals	82	75	$24.00	$12.47
90471 Administration of 1 vaccine	71	43	$15.00	$14.77
J1885 Injection, ketorolac tromethamine, per 15 mg	61	40	$18.00	$0.69
80061 Blood test, lipids (cholesterol and triglycerides)	60	60	$29.00	$14.43
71020 X-ray of chest, 2 views, front and side	56	42	$69.64	$21.12
94640 Inhalation treatment for airway obstruction or sputum production	38	32	$65.00	$18.49
Q2039 Influenza virus vaccine, not otherwise specified	37	37	$40.00	$22.33
G0008 Administration of influenza virus vaccine	36	35	$15.00	$14.70
83036 Hemoglobin A1C level	31	30	$21.00	$13.05
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	29	$25.00	$15.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$65.00	$44.03
82947 Blood glucose (sugar) level	19	13	$14.00	$5.28
G0444 Annual depression screening, 5 to 15 minutes	18	18	$20.00	$18.20
J2405 Injection, ondansetron hydrochloride, per 1 mg	17	14	$25.00	$0.09
J0696 Injection, ceftriaxone sodium, per 250 mg	16	14	$25.00	$0.66
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$180.00	$75.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.00	$164.27

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 73891

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.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License MA 73891

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2019540 (MA)

Commercial Insurance / Payer ID Bcbs Ri

26755 (RI)

Commercial Insurance / Payer ID Rr Medicare

P00084798

Commercial Insurance / Payer ID Tufts

404372 (MA)

Commercial Insurance / Payer ID Bcbs Ma

J26640 (MA)

Hospital & Practice Group Affiliations

Crausman Medical Associates Llc

5 Adams Cir, Rehoboth, MA 027691430

Phone: 5082236172

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dan Nguyen , PA-C

Physician Assistant

NPI 1194808691

Physician Assistant (Certified)

Faithe Weathers , CNP

Nurse Practitioner - Adult Health

NPI 1750850665

Certified Nurse Practitioner

Stephen Mccabe , PA-C

Physician Assistant - Medical

NPI 1922507573

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2013

Registered at 528 NEWTON ST, FALL RIVER, MA 027212366 (Tel: 5086751522)

📍

Updated Business Mailing Address October 17, 2013

Registered at 528 NEWTON ST, FALL RIVER, MA 027212366 (Tel: 5086751522)

👤

Provider Name / Credentials Updated October 17, 2013

Recorded as ROBERT CRAUSMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2013

Internal Medicine (License #73891 in MA)

🟢

Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790880490

Entity Type:

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

Enumeration Date: September 14, 2006

Last Update: October 17, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

528 Newton St

Fall River, MA 027212366

Phone: 5086751522

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.