CLARA MARIA CROCE MD
NPI 1164633269
Obstetrics & Gynecology in Concord, NC

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1054 BURRAGE RD NE, CONCORD, NC 28025(704) 403-7800 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 40 more (43 updates tracked since 2018).

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

NPI1164633269
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCLARA MARIA CROCECredential: MD
Location Address1054 BURRAGE RD NEConcord, NC 28025-2910
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 15, 202443 updates tracked since enumeration
NPI 1164633269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 2009-01681
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1054 BURRAGE RD NE, Concord, NC 28025

Secondary Practice Locations 4

Location 11025 Morehead Medical Dr, Ste 500 FL 5Charlotte, NC 28204-2963 · Phone (704) 355-3149
Location 21025 Morehead Medical Dr, Ste 450Charlotte, NC 28204-2963 · Phone (704) 446-7800
Location 37810 Providence Rd, Ste 105Charlotte, NC 28226-2954 · Phone (704) 446-7800
Location 4101 E W T Harris Blvd, Ste 2320Charlotte, NC 28262-3485 · Phone (704) 547-0858

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

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.

PECOS PAC ID7012082100
PECOS Enrollment IDI20091109000635
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.

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, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

Obstetrics & Gynecology
1054 BURRAGE RD NE
CONCORD, NC 28025
Specialist
1054 BURRAGE RD NE
CONCORD, NC 28025
Obstetrics & Gynecology
1054 BURRAGE RD NE
CONCORD, NC 28025
Obstetrics & Gynecology
1054 BURRAGE RD NE
CONCORD, NC 28025
Obstetrics & Gynecology
1054 BURRAGE RD NE
CONCORD, NC 28025
Nurse Practitioner (Family)
1054 BURRAGE RD NE
CONCORD, NC 28025
Obstetrics & Gynecology
1054 BURRAGE RD NE
CONCORD, NC 28025
Obstetrics & Gynecology
1054 BURRAGE RD NE
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.

What insurance does Clara Croce accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer 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 with the weekly NPPES data releases published by CMS.