2026 NPPES data General Practice Physician NPI 1366702870 M.D.
Verify on CMS →

Crystal Manse, M.D.

General Practice Physician in O Fallon, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,725 in General Practice Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
851
Medicare Part D claims · 136 beneficiaries · General Practice Physician avg: 3K
MIPS score
67.6/100
▼ 16 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Crystal Manse, M.D. reported a CMS MIPS final score of 67.6/100 - below the 83.1 national average - and filed 851 Medicare Part D claims in 2023.

67.6/100
MIPS score · -16 vs avg
851
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Crystal Manse, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

68 7th percentile higher than 7% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Crystal Manse, M.D. sits

This provider among general practice physician peers

Across the 783 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Crystal Manse, M.D. writes more Part D claims than 57% of them and scores higher on MIPS quality than 16% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 30Crystal Manse, M.D.-Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 16
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Crystal Manse, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Crystal Manse, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Crystal Manse, M.D.?

Below national average

NPI registry status

Active

Issued 05/18/2012

NPI 1366702870

Primary specialty

General Practice Physician

Mid-sized

16,725 US NPIs in this specialty

Medicare Part D claims

851 70% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

67.6/100 15.5 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How General Practice Physician compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%General Practice Physician - 0.1%General Practice Physician0.1%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Crystal Manse, M.D.'s 2023 MIPS final score plotted against the General Practice Physician national average

Below national average
MIPS Final Score
67.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) - 67.6/100 vs national avg 83.1

0%100%National avg83%67.6%
MIPS final score (General Practice Physician) - 67.6/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Crystal Manse, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL, 62269, with a listed phone of (618) 233-5480. NPI 1366702870 was issued on 05/18/2012.

Medicare Part D records for calendar year 2023 show 851 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $34K in drug spend, with an opioid prescribing rate of 14.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.6/100 for the 2023 performance year (Quality 36.2, Cost 43.6), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,725 enrolled providers across 56 states and an average of 2,872 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3 SAINT ELIZABETH BLVD STE 4000
O Fallon, IL 62269

Provider Details

NPI 1366702870
Specialty General Practice Physician
Credentials M.D.
Gender Female
NPI Issued 05/18/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

67.5614
Final Score
Avg: 83.1
36.196
Quality
43.61
Cost

Reporting: Group practice

License & disciplinary context - Illinois IDFPR 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Crystal Manse, M.D.. To verify Crystal Manse, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

851
Total Claims
$34K
Total Drug Cost
136
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
871
Total Day Supply
10,468
Generic Drug Cost
$16K
Opioid Claims
126 (14.8% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
76.9 years
Avg HCC Risk Score
3.43
Gender Split
59% female / 41% male
Age Distribution
<65: 15, 65-74: 39, 75-84: 43, 85+: 39

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Crystal Manse, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
85
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
68
Gabapentin
57
Omeprazole
52
Lorazepam
45
Lacosamide
44
Trazodone Hcl
40
Eliquis
Apixaban
37
Chlorthalidone
34
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
28

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How Crystal Manse, M.D. fits within the General Practice Physician landscape nationally.

16,725
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

Crystal Manse, M.D.'s 851 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Manse.

Compare General Practice Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby General Practice Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Crystal Manse, M.D.'s specialty?
Crystal Manse, M.D. specializes in General Practice Physician and practices in O Fallon, Illinois. Credentials: M.D..
How much does Crystal Manse, M.D. prescribe under Medicare Part D?
In 2023, Crystal Manse, M.D. wrote 851 Medicare Part D claims totaling $34K in drug costs for 136 beneficiaries.
What is Crystal Manse, M.D.'s Medicare quality score?
Crystal Manse, M.D. has a CMS MIPS Final Score of 67.6/100 (Quality: 36.2, Cost: 43.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Crystal Manse, M.D. located?
Crystal Manse, M.D. is located at 3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL, 62269. Phone: (618) 233-5480.
What is Crystal Manse, M.D.'s NPI number?
Crystal Manse, M.D.'s National Provider Identifier (NPI) is 1366702870, issued on 05/18/2012.
Does Crystal Manse, M.D. prescribe opioids?
Yes, Crystal Manse, M.D. had 126 opioid claims in 2023 with an opioid prescribing rate of 14.8%.
How many General Practice Physician providers are there in the US?
There are 16,725 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Crystal Manse, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Crystal Manse, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Crystal Manse, M.D. accept Medicare?
Crystal Manse, M.D. appears in CMS Medicare data with 851 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Crystal Manse, M.D.'s credentials?
Crystal Manse, M.D.'s NPI is 1366702870 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.