Crystalle M. Evans, D.O.
NPI 1043560030ActiveIndividual· Emergency Medicine· Ada, OK
Emergency Medicine (D.O.) in Ada, Oklahoma, trained at Oklahoma State University College of Osteopathic Medicine (class of 2011). Mostly services rather than prescriptions: Medicare paid $1,613 for 20 patients in 2024, with only 24 Part D claims.
Overview
| NPI | 1043560030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Sep 17, 2012 |
| Last updated in NPPES | Jan 24, 2024 |
| Certified by provider | Jan 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 5209 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (OK); Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 30 across 4 procedure codes |
| Paid by Medicare | $1,613 |
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $582.91 |
| Generic share | 79% of claims |
Education and affiliations
| Medical school | Oklahoma State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Emergency Medicine |
Medical group
- Chickasaw Nation Division of Health Chickasaw Nation Medical CenterAda, OK · 240 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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