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CLARENCE LYN CROOMS M.D.
NPI 1205839925
Orthopaedic Surgery in Marietta, GA

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3823 ROSWELL RD, SUITE 202, MARIETTA, GA 30062(770) 579-8558(770) 973-1934 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarence Lyn Crooms M.d. NPPES

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

CLARENCE LYN CROOMS M.D. (NPI 1205839925) is an individual orthopaedic surgery provider in Marietta, Georgia, licensed in Georgia (011312) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1966).

NPPES Registry Identity

NPI1205839925
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCLARENCE LYN CROOMSCredential: M.D.
Location Address3823 ROSWELL RD, SUITE 202Marietta, GA 30062-6278
Mailing Address300 Tower Rd Ne, Ste 200Marietta, GA 30060-9403 · (770) 427-5717 · Fax (770) 429-6503
Phone(770) 579-8558
Fax(770) 973-1934
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1966
Enumeration DateMay 27, 2005
Last NPPES UpdateDecember 5, 2013
✔ NPI 1205839925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 011312
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3823 ROSWELL RD, Marietta, GA 30062
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified20BBDSLGA
Medicare UPIND29212GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Clarence Lyn Crooms M.d. 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 ID1153370945
PECOS Enrollment IDI20050119000615
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 5

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
88 services16 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.
53 services43 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%155 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

DR. WILLIAM ROBERT HANSMANN D.D.S.
Dentist (General Practice)
3823 ROSWELL RD, SUITE 104
MARIETTA, GA 30062
Cobb County (770) 977-1632
MICHAEL L. LEINGANG, III, DDS, PC
Dentist (General Practice)
3823 ROSWELL RD, SUITE 201
MARIETTA, GA 30062
Cobb County (770) 977-1892
DR. LAURIE ANN CAVALLARO D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
3823 ROSWELL RD, SUITE 203
MARIETTA, GA 30062
Cobb County (770) 971-9228
ELIZABETH AINSWORTH LMSW
Social Worker
3823 ROSWELL RD
MARIETTA, GA 30062
Cobb County (470) 519-0740
DAVID MCCOLLUM DMD
Dentist (General Practice)
3823 ROSWELL RD, #205
MARIETTA, GA 30062
Cobb County (770) 973-9275
INTEGRITY ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
3823 ROSWELL RD, SUITE 203
MARIETTA, GA 30062
Cobb County (770) 971-9228
SPELIOS AND ASSOCIATES- SUMMITT PC
Point of Service
3823 ROSWELL RD, SUITE 205
MARIETTA, GA 30062
Cobb County (770) 973-9275
EAST MARIETTA FAMILY DENTISTRY
Clinic/Center (Dental)
3823 ROSWELL RD, SUITE 104
MARIETTA, GA 30062
Cobb County (770) 977-1632

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 Clarence Crooms's NPI number?

The NPI number for Clarence Crooms is 1205839925. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Clarence Crooms located?

Clarence Crooms practices at 3823 Roswell Rd Suite 202, Marietta, GA 30062. The listed phone number is (770) 579-8558.

What is Clarence Crooms's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Clarence Crooms enrolled in Medicare?

Yes. Clarence Crooms 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 Clarence Crooms accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Clarence Crooms 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.

When was this NPI record last updated?

The NPPES record for Clarence Crooms was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.