Individual provider Active NPI

Christopher J Lecroy, MD

  • Vascular Surgery Physician
  • Pensacola, FL
National Provider Identifier
1821204983
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME101187 Issued in FL
Practice address
5149 N 9TH Ave Ste 120
Pensacola, FL 32504-8734
Phone
(850) 479-1805
Fax
(850) 479-1829
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME101187 FL Primary

Addresses

Primary practice location

5149 N 9TH Ave Ste 120
Pensacola, FL 32504-8734

Mailing address

PO Box 11982
Pensacola, FL 32524-1982
Phone (850) 479-1805

Other identifiers 3

IdentifierTypeStateIssuer
59202584OtherALBCBS
000156300OtherFLMEDICAID
42616OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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
I20080912000569 FL Practitioner - Vascular Surgery 3476629585 Reassigns benefits to 2 organizations
I20210216003407 AL Practitioner - Vascular SurgeryPractitioner - General Surgery 3476629585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1502 N McKenzie St
Suite 110
Foley, AL 36535-2272
Phone (850) 912-8847

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal257
Leg revascularization (restoring blood flow)172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA Vascular Surgery CurrentSince Mar 1, 2021 Accepting new patients
Innovative Open MRI of Pensacola LLC Current Accepting new patients

Locations

1502 N McKenzie St
Foley, AL 36535

1502 N McKenzie St
Ste 110
Foley, AL 36535
Phone (251) 943-1530

1502 N McKenzie St
Ste 100
Foley, AL 36535

3817 Gulf Shores Pkwy
Ste 7
Gulf Shores, AL 36542
Phone (251) 210-8884

4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

3575 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 332-6339

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

5970 Berryhill Rd
Milton, FL 32570

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

4585 E Highway 20
Niceville, FL 32578
Phone (850) 678-0184

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

801 E 6th St
#2
Panama City, FL 32401

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

5147 N 9th Ave
Ste 318
Pensacola, FL 32504
Phone (850) 416-2965

5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191

2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

Interoperability endpoints

  • Direct secure messaging: clecroy@cvi.curemd.direct-ci.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 5

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1821204983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11982",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241982",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 N 9TH AVE STE 120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048734",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECROY",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME101187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59202584",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "000156300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42616",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.