Individual provider Active NPI

Scott Harrison Crocker, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Abilene, TX
National Provider Identifier
1073505889
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
H1569 Issued in TX
Practice address
1680 Antilley Rd
Ste. 260
Abilene, TX 79606-5267
Phone
(325) 691-5590
Fax
(325) 691-1231
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X H1569 TX Primary

Addresses

Primary practice location

1680 Antilley Rd
Ste. 260
Abilene, TX 79606-5267

Mailing address

1680 Antilley Rd
Ste. 260
Abilene, TX 79606-5267
Phone (325) 691-5590

Other identifiers 1

IdentifierTypeStateIssuer
1157661-04MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091116000246 TX Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 7214914399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
University of Colorado School of Medicine, Denver, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1680 Antilley Rd
Suite 260
Abilene, TX 79606-5247
Phone (325) 691-5590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)36
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1569TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 30, 2014 Accepting new patients
Hendrick Provider Network CurrentSince Jun 30, 2014 Accepting new patients
Hendrick Medical Center Current Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1680 Antilley Rd
Ste 260
Abilene, TX 79606
Phone (325) 691-5590

1150 N 18th St
Ste 401
Abilene, TX 79601
Phone (325) 670-4560

1900 Pine St
Ste 1630
Abilene, TX 79601
Phone (325) 670-3642

Interoperability endpoints

  • Direct secure messaging: scrocker@hmc.allscriptsdirect.net
  • Direct secure messaging: scott.crocker.1@21794.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1073505889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD",
            "address_2": "STE. 260",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065267",
            "telephone_number": "325-691-5590",
            "fax_number": "325-691-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD",
            "address_2": "STE. 260",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065267",
            "telephone_number": "325-691-5590",
            "fax_number": "325-691-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "SCOTT",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "H1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1157661-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.