Individual provider Active NPI

Heber Cless Crockett, MD

  • Orthopaedic Surgery Physician
  • Kearney, NE
National Provider Identifier
1669412698
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21165 Issued in NE
Practice address
2810 W 35TH St
Kearney, NE 68845-2909
Phone
(308) 865-2570
Fax
(308) 865-2508
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New West Sports Medicine and Orthopaedic Surgery PC 12 clinicians

Practice addresses (Care Compare)

2810 W 35TH St
Kearney, NE 68845-2909

Hospital & facility affiliations

  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311
  • Valley County Health System Hospital, Ord, NE, CCN 281353
  • Phillips County Hospital Hospital, Phillipsburg, KS, CCN 171353
  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Norton County Hospital Hospital, Norton, KS, CCN 171348

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
56.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)38
Upper limb (arm) arthroscopy (minimally invasive joint repair)214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100430000170 NE Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1557498128 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New West Sports Medicine & Orthopaedic Surgery, P.C. Orthopaedic Surgery CurrentSince Jul 1, 2002 Accepting new patients
Good Samaritan Outreach Services Past Accepting new patients
The Physician Network PastSince Dec 1, 2015 Accepting new patients

Locations

945 E Zero St
Ainsworth, NE 69210
Phone (402) 387-2067

2810 W 35th St
Kearney, NE 68845
Phone (308) 865-2570

3219 Central Ave
#102
Kearney, NE 68847
Phone (308) 865-2570

2810 W 35th St
Ste 1
Kearney, NE 68845
Phone (308) 865-2570

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 21165 NE
Orthopaedic Surgery Physician 207X00000X 21165 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

2810 W 35TH St
Kearney, NE 68845-2909

Mailing address

2810 W 35TH St
Kearney, NE 68845-2909
Phone (308) 865-2570

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00254OtherNEBCBS OF NEBRASKA
200088480BMedicaidKS

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address hebercrockett@nwsmos.allscriptsdirect.net Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2021.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1669412698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "HEBER",
        "middle_name": "CLESS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NE",
            "license": "21165",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "21165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "00254",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200088480B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hebercrockett@nwsmos.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2810 W 35th St",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688452909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.