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CHARLES THOMAS MCCRORY M.D., D.C
NPI 1134211170
General Practice in Roseville, CA

Active since September 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2016844 · Waiver
28.85/100
CMS Quality Rating
300 HARDING BLVD, 213, ROSEVILLE, CA 95678(916) 780-2800(916) 780-1130 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Thomas Mccrory M.d., D.c NPPES

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

CHARLES THOMAS MCCRORY M.D., D.C (NPI 1134211170) is an individual general practice provider in Roseville, California, licensed in California (A066088) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 28, 2026, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1134211170
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCHARLES THOMAS MCCRORYCredential: M.D., D.C
Location Address300 HARDING BLVD, 213Roseville, CA 95678-2474
Mailing Address300 Harding Blvd, 213Roseville, CA 95678-2474 · (916) 780-2800 · Fax (916) 780-1130
Phone(916) 780-2800
Fax(916) 780-1130
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 4, 2012
✔ NPI 1134211170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A066088
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X · License DC24046 (CA)
300 HARDING BLVD, Roseville, CA 95678
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING89111CA
Medicare ID-Type Unspecified00A660880CA

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

Charles Thomas Mccrory M.d., D.c 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 ID7911082086
PECOS Enrollment IDI20110815000425
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2016844

Charles Mccrory, Dc MD Inc · Roseville, CA
Active · expires Nov 28, 2026
CLIA Number05D2016844
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorCharles Mccrory
Laboratory Phone(916) 780-2800
Laboratory LocationCharles Mccrory, Dc MD Inc300 Harding Blvd Ste 213, Roseville, CA 95678
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

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.
540 services213 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
537 services173 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
176 services66 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
98 services33 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.
52 services52 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
47 services28 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost96.19

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims61 services$1.82 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 14

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

RENAE A SCHIECKOFF
Student in an Organized Health Care Education/Training Program
300 HARDING BLVD, SUITE 108
ROSEVILLE, CA 95678
Placer County (916) 224-8854
MRS. LINDSAY ERIN HENRY
Social Worker (Clinical)
300 HARDING BLVD, ROSEVILLE, CA 95678
ROSEVILLE, CA 95678
Placer County (916) 740-0410
KATHLEEN M. KENNEDY HUTTON RD
Dietitian, Registered
300 HARDING BLVD, SUITE 203C
ROSEVILLE, CA 95678
Placer County (916) 717-5962
CYNTHIA M THORP PSY.D.
Psychologist (Clinical)
300 HARDING BLVD, SUITE 112C
ROSEVILLE, CA 95678
Placer County (916) 764-0915
TERRA COLBERT
Massage Therapist
300 HARDING BLVD, SUITE 213
ROSEVILLE, CA 95678
Placer County (916) 780-2800
MEGAN DURNING PATERSON LMFT
Marriage & Family Therapist
300 HARDING BLVD
ROSEVILLE, CA 95678
Placer County (530) 830-9074
DR. JOHN FIELDER PH.D.
Psychologist (Clinical)
300 HARDING BLVD, SUITE 118
ROSEVILLE, CA 95678
Placer County (916) 878-0355
DR. PATRICIA LATHAM BACH PSYD, RN
Clinical Neuropsychologist
300 HARDING BLVD, SUITE 203/204 K
ROSEVILLE, CA 95678
Placer County (916) 662-0767

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 Charles Mccrory's NPI number?

The NPI number for Charles Mccrory is 1134211170. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Charles Mccrory located?

Charles Mccrory practices at 300 Harding Blvd 213, Roseville, CA 95678. The listed phone number is (916) 780-2800.

What is Charles Mccrory's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Mccrory enrolled in Medicare?

Yes. Charles Mccrory 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.

Does Charles Mccrory hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2016844) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charles Mccrory was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.