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Dr. Michael Crocetti , MD

Pediatrics β€’ Baltimore, MD

Active NPI 1255371399 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

Jhcp Canton Crossing - 1501 S. Clinton St, Suite #200
Baltimore, MD 21224

Call 4105229940 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Jhcp Canton Crossing - 1501 S. Clinton St
Suite #200

Baltimore, MD 21224

Telephone 4105229940
Organization at the Same NPPES Address or Phone
Johns Hopkins Regional Physicians Llc Facility NPI 1205766771

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Johns Hopkins Community Physicians, Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Eastern Virginia Medical School

Graduation Year

1993

30-day fills

20 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$18,543 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

33 years (graduated 1993)

CMS Doctors and Clinicians data list 1993 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Crocetti has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Crocetti as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Baltimore and Maryland

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Crocetti are from 2021.

522 active clinicians are listed under Pediatrics with a practice address in Baltimore, MD (1,842 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

0.4% of these 522 clinicians have the CMS telehealth indicator.

4.8% of these 522 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D Β· Data Year 2021
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Vimpat Lacosamide 20 585 $18,542.90 β€”

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MD D50569

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
139805900 (MD)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20100309000515

Enrollment State Jurisdiction

MD

PECOS Control ID

0345385753

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Johns Hopkins Community Physicians, Inc

1000 E Eager St, Baltimore, MD 212025533

Phone: 4105229800

Johns Hopkins Community Physicians, Inc

1501 S Clinton St, Baltimore, MD 212245748

Phone: 4105229940

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1578023255

Doctor of Medicine (M.D.)

Dr. Brian Hasselfeld , MD

Internal Medicine

NPI 1700270360

Doctor of Medicine (M.D.)

Ophelia Langhorne

Obstetrics & Gynecology

NPI 1568858744
Karen Radowich , NP-C

Nurse Practitioner - Family

NPI 1114275849

Nurse Practitioner (Certified)

Rebekah Sawyer

Obstetrics & Gynecology

NPI 1356024889
Dr. Jane Shen , MD

Internal Medicine

NPI 1477847846

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 24, 2018

Registered at JHCP CANTON CROSSING - 1501 S. CLINTON ST, SUITE #200, BALTIMORE, MD 21224 (Tel: 4105229940)

πŸ“
Updated Business Mailing Address May 24, 2018

Registered at 9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 212364902 (Tel: 4109335412)

βœ…
NPI Profile Active May 09, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 09, 2013

Registered at 4940 EASTERN AVE, BALTIMORE, MD 212242735 (Tel: 4105500967)

πŸ“
Business Mailing Address (Initial Record) May 09, 2013

Registered at 3100 WYMAN PARK DR, BALTIMORE, MD 212112803

πŸ‘€
Provider Name / Credentials (Initial Record) May 09, 2013

Recorded as MICHAEL CROCETTI, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2013

Pediatrics (license number reported to NPPES: MD D50569)

🟒
Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255371399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: May 24, 2018
Sole Proprietor: No

Other Pediatrics Specialists in Baltimore

All Pediatrics Specialists in Baltimore

Mailing Address

9910 Franklin Square Dr Ste 2110

Baltimore, MD 212364902

Phone: 4109335412

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.