Active NPI
Heber Cless Crockett, MD
- Orthopaedic Surgery Physician
- Kearney, NE
On this page
- Key facts
- Organizations & group practices3
- Hospital & facility affiliations7
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers2
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Kearney, NE
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 21165
- 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.
-
- Orthopaedic Surgery Physician
- Kearney, NE
- NPI 1922055953
NE, Orthopaedic Surgery
-
- Family Medicine Physician
- Kearney, NE
- NPI 1639100951
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
Hospital
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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
Practice addresses (Care Compare)
2810 W 35TH St
Kearney, NE 68845-2909
Hospital & facility affiliations
- Rooks County Health Center
- Valley County Health System
- Phillips County Hospital
- Great Plains Health
- Norton County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.32 of 100
- Quality
- 56.65
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100430000170 | NE | Practitioner - Orthopedic Surgery | 1557498128 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New West Sports Medicine & Orthopaedic Surgery, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Good Samaritan Outreach Services | Past | Accepting new patients | |
| The Physician Network | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 21165 | NE | |
| Orthopaedic Surgery Physician | 207X00000X | 21165 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00254 | Other | NE | BCBS OF NEBRASKA |
| 200088480B | Medicaid | KS |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.