Crystal Kucuk Macomb, DO
NPI 1881121655ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Allentown, PA
Orthopaedic Surgery, Sports Medicine (DO) in Allentown, Pennsylvania, licensed in PA, VA and TN, with an NPI issued in May 2017. Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1881121655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 11, 2017 |
| Last updated in NPPES | Sep 4, 2026 |
| Certified by provider | Sep 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | OS025775 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Family Medicine | 207Q00000X | 0102206099 | VA |
| Family Medicine, Sports Medicine | 207QS0010X | 4621 | TN |
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 - Family Practice (DC) |
|---|
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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