NPIMap

Individual provider Active NPI

Reagan Lee Crossnoe, MD

  • Orthopaedic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1083604086
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K9511 Issued in TX
Practice address
7120 SW 9TH Ave
Amarillo, TX 79106-1704
Phone
(806) 547-0330
Fax
(806) 547-0331
NPI assigned
Oct 21, 2005
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K9511 TX Primary

Addresses

Primary practice location

7120 SW 9TH Ave
Amarillo, TX 79106-1704

Mailing address

7120 SW 9TH Ave
Amarillo, TX 79106-1704
Phone (806) 547-0330

Other identifiers 4

IdentifierTypeStateIssuer
P00010069OtherTXRAILROAD MEDICARE
0090JUOtherBLUE CROSS BLUE SHIELD
157236401MedicaidTX
E00820587843OtherTXAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000303 TX Practitioner - Orthopedic Surgery 9931261153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reagan Crossnoe M.D P.a.Group PAC ID 0840350625, 2 clinicians

Practice addresses (Care Compare)

7120 SW 9TH Ave
Crossnoe Orthopedic Surgery
Amarillo, TX 79106-1704
Phone (806) 547-0330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as individual
Improvement activities
40
Cost
66.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement50
Knee replacement111
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4540TXMDInternal Medicine Physician
K9511TXMDOrthopaedic Surgery Physician

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.

Hospital & facility affiliations 8

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1083604086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061704",
            "telephone_number": "806-547-0330",
            "fax_number": "806-547-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061704",
            "telephone_number": "806-547-0330",
            "fax_number": "806-547-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSNOE",
        "first_name": "REAGAN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K9511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00010069",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0090JU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157236401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "E00820587843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.