Individual provider Active NPI

Matthew Crosby, D.O.

  • Dermatology Physician
  • Sierra Vista, AZ
National Provider Identifier
1760824338
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7381 Issued in AZ
Practice address
1916 Paseo San Luis
Sierra Vista, AZ 85635-4614
Phone
(520) 458-1505
NPI assigned
Jul 24, 2013
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7381 AZ Primary
MOHS-Micrographic Surgery Physician 207ND0101X 7381 AZ

Addresses

Primary practice location

1916 Paseo San Luis
Sierra Vista, AZ 85635-4614

Mailing address

7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190912001875 AZ Practitioner - Dermatology 5890928055 Reassigns benefits to 1 organization
I20230412001805 UT Practitioner - Dermatology 5890928055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Dermatology PLLCGroup PAC ID 1951465806, 3 clinicians

Practice addresses (Care Compare)

166 W 1325
Suite 250
Cedar City, UT 84721-7794
Phone (435) 586-6440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
82.18 of 100Reported as group
Quality
65.23
Promoting interoperability
100
Improvement activities
40
Cost
75.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision113
Removal of skin lesions1515
Removal of skin cancer269
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7381AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Dermatologists Group LLC Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Epiphany Dermatology of Arizona, LLC Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Cedar Dermatology PLLC Dermatology CurrentSince Jun 1, 2023 Accepting new patients

Locations

7767 W Deer Valley Rd
Ste 140
Peoria, AZ 85382
Phone (623) 487-3003

1916 Paseo San Luis
Sierra Vista, AZ 85635
Phone (520) 458-1505

6648 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 886-8151

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

166 W 1325 N
Ste 250
Cedar City, UT 84721
Phone (435) 586-6440

126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591

700 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1760824338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PASEO SAN LUIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354614",
            "telephone_number": "520-458-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "7381",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "7381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.