Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225095987 Individual Practitioner Male Practitioner

Malcolm E Crennell , PA-C

Physician Assistant • Madison, WI

Professional Overview & Biography Verified Profile Summary

Malcolm Crennell, PA-C is a registered healthcare professional specializing in Physician Assistant in Madison, WI. Practice services are available at 1821 S STOUGHTON RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, methylprednisolone acetate, 40 mg, injection into tendon or ligament. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1821 S Stoughton Rd

Madison, WI 537162257

Telephone 6082606000
Fax 6082606699
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc Facility NPI 1578570974

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
397 Specialists

Practicing in Madison, WI (3517 Statewide)

Telehealth Adoption Rate
18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.0% 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 (2018)
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
30 30 $273.00 $91.80
J1030 Injection, methylprednisolone acetate, 40 mg
28 18 $23.64 $6.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 18 $137.00 $37.04
20550 Injection into tendon or ligament
15 11 $284.80 $40.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $267.00 $90.26

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 329-023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42911000 (WI)
Commercial Insurance / Payer ID Railroad Medicare
200026874 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003229055

Doctor of Medicine (M.D.)

Dr. Yingyu Gao , MD

Allergy & Immunology

NPI 1003435058

Doctor of Medicine (M.D.)

Dr. Maria Din , DO

Family Medicine

NPI 1013351055

Doctor of Osteopathic Medicine (D.O.)

Jessica Poirier

Family Medicine

NPI 1013655448
Dr. Rosa Gilestra , MD

Family Medicine

NPI 1013952894

Doctor of Medicine (M.D.)

Tracy Todorovic , SLP

Speech-Language Pathologist

NPI 1023685542

Speech-Language Pathologist

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2018

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

📍
Updated Business Mailing Address January 19, 2018

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as MALCOLM CRENNELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Physician Assistant (License #329-023 in WI)

NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2016

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

📍
Updated Business Mailing Address May 09, 2016

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

👤
Provider Name / Credentials Updated May 09, 2016

Recorded as MALCOLM CRENNELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Physician Assistant (License #329-023 in WI)

🟢
Initial NPI Registration & Enumeration April 27, 2006

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: 1225095987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: April 11, 2018
Sole Proprietor: No

Mailing Address

1821 S Stoughton Rd

Madison, WI 537162257

Phone: 6082606000

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.