Crystal Vaughn Manse, M.D.
NPI 1366702870ActiveIndividual· Internal Medicine· O Fallon, IL
Internal Medicine (M.D.) in O Fallon, Illinois, licensed in IL and VA, with an NPI issued in May 2012. In 2024 Medicare paid $86,031 for 379 patients, and Part D covered 572 of their prescriptions, 86% of them generic.
Overview
| NPI | 1366702870 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 18, 2012 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036139867 | IL |
| General Practice | 208D00000X | 0101255760 | VA |
| Hospitalist | 208M00000X | 036139867 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (CA); Practitioner - Internal Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 379 |
|---|---|
| Services billed | 1,064 across 10 procedure codes |
| Paid by Medicare | $86,031 |
Part D prescriptions in 2024
| Prescriptions (claims) | 572 · 616 30-day fills |
|---|---|
| Patients | 144 |
| Total drug cost | $24,990 |
| Generic share | 86% of claims |
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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