Individual provider Active NPI

Michael McCracken, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Parker, CO
National Provider Identifier
1043291701
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
DR.0041566 Issued in CO
Practice address
11960 Lioness Way
Suite 160
Parker, CO 80134-5640
Phone
(720) 851-6600
Fax
(720) 851-0887
NPI assigned
Nov 9, 2005
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DR-41566 CO
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X DR.0041566 CO Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD2009-0247 NM

Addresses

Primary practice location

11960 Lioness Way
Suite 160
Parker, CO 80134-5640

Mailing address

11960 Lioness Way
Suite 160
Parker, CO 80134-5640
Phone (720) 851-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000453 CO Practitioner - OphthalmologyPractitioner - Other (Physician) 9931124401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10465 Park Meadows Dr
Suite 105
Lone Tree, CO 80124-5320
Phone (720) 851-6600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR-41566COMDSpecialist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1043291701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "SUITE 160",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "720-851-6600",
            "fax_number": "720-851-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "SUITE 160",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "720-851-6600",
            "fax_number": "720-851-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "DR-41566",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR.0041566",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NM",
            "license": "MD2009-0247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.