JOSEPH GUERERRI CROCETTI JR. DO
NPI 1003834581
Internal Medicine - Pulmonary Disease in Abington, PA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1235 OLD YORK RD, STE 121, ABINGTON, PA 19001(215) 517-1200(215) 517-1219 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Guererri Crocetti Jr. Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH GUERERRI CROCETTI JR. DO (NPI 1003834581) is an individual pulmonary disease provider in Abington, Pennsylvania, licensed in Pennsylvania (05008482L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1003834581
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOSEPH GUERERRI CROCETTI JR.Credential: DO
Location Address1235 OLD YORK RD, STE 121Abington, PA 19001-3840
Mailing Address1235 Old York Rd, Ste 121Abington, PA 19001-3840 · (215) 517-1200 · Fax (215) 517-1219
Fax(215) 517-1219
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1993
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 29, 2018
NPI 1003834581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · 05008482L
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 05008482L (PA)
1235 OLD YORK RD, Abington, PA 19001

Other Identifiers 1

Medicaid0017539740005PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joseph Guererri Crocetti Jr. Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527195809
PECOS Enrollment IDI20101208000132
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
267 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
167 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services56 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers455 claims455 services$31.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers240 claims240 services$75.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers231 claims636 services$27.79 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers169 claims973 services$14.48 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
17 suppliers131 claims699 services$12.45 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
22 suppliers331 claims331 services$43.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1235 OLD YORK RD, STE 113
ABINGTON, PA 19001
Internal Medicine (Pulmonary Disease)
1235 OLD YORK RD, SUITE 121
ABINGTON, PA 19001
Internal Medicine
1235 OLD YORK RD, SUITE 214
ABINGTON, PA 19001
Nurse Practitioner (Adult Health)
1235 OLD YORK RD, STE 113
ABINGTON, PA 19001
Internal Medicine (Infectious Disease)
1235 OLD YORK RD, SUITE 220
ABINGTON, PA 19001
Internal Medicine (Critical Care Medicine)
1235 OLD YORK RD, STE 121
ABINGTON, PA 19001
Internal Medicine (Infectious Disease)
1235 OLD YORK RD, SUITE 220
ABINGTON, PA 19001
Dentist (Oral and Maxillofacial Surgery)
1235 OLD YORK RD, SUITE 122
ABINGTON, PA 19001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Crocetti's NPI number?

The NPI number for Joseph Crocetti is 1003834581. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Joseph Crocetti located?

Joseph Crocetti practices at 1235 Old York Rd Ste 121, Abington, PA 19001. The listed phone number is (215) 517-1200.

What is Joseph Crocetti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Joseph Crocetti enrolled in Medicare?

Yes. Joseph Crocetti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Crocetti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joseph Crocetti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Crocetti affiliated with any hospitals?

According to CMS data, Joseph Crocetti is affiliated with Lansdale Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Crocetti was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.