CLARA MARIA CROCE MD
NPI 1164633269
Obstetrics & Gynecology in Concord, NC
About Clara Maria Croce Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARA MARIA CROCE MD (NPI 1164633269) is an individual obstetrics & gynecology provider in Concord, North Carolina, licensed in North Carolina (2009-01681) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clara Maria Croce Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Clara Croce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 1,534 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center-Northeast
Acute Care Hospitals · Concord, NCCarolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CONCORD, NC 28025
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 Clara Croce's NPI number?
The NPI number for Clara Croce is 1164633269. It was assigned to this individual provider in the NPPES registry on May 24, 2007.
Where is Clara Croce located?
Clara Croce practices at 1054 Burrage Rd NE, Concord, NC 28025. The listed phone number is (704) 403-7800.
What is Clara Croce's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Clara Croce enrolled in Medicare?
Yes. Clara Croce 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.
Which organizations bill Medicare for Clara Croce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clara Croce reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Concord, NC) and Carolinas Physicians Network Inc (Concord, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clara Croce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clara Croce accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Clara Croce 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 Clara Croce affiliated with any hospitals?
According to CMS data, Clara Croce is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Clara Croce was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Clara Maria Croce, MD · NPI 1164633269
Obstetrics & Gynecology physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since May 24, 2007.
## Identity
- **NPI:** 1164633269 (Entity type: Individual)
- **Enumerated:** May 24, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 2009-01681 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1054 BURRAGE RD NE, Concord, NC 28025-2910
- **Phone:** (704) 403-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Charlotte-Mecklenburg Hospital Authority (NPI 1730516196, Concord, NC); Carolinas Physicians Network Inc (NPI 1356700132, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164633269) · Data from the CMS NPPES public registry.