DR. MICHAEL JAMES CROTTY M.D.
NPI 1215199559
Internal Medicine in Akron, OH

Active since June 27, 2008PECOS Enrolled
55 ARCH ST, DEPT OF INTERNAL MEDICINE SUITE 1A, AKRON, OH 44304(330) 375-3315 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael James Crotty M.d. NPPES

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

DR. MICHAEL JAMES CROTTY M.D. (NPI 1215199559) is an individual internal medicine provider in Akron, Ohio, licensed in Ohio (NOT ISSUED YET) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215199559
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL JAMES CROTTYCredential: M.D.
Location Address55 ARCH ST, DEPT OF INTERNAL MEDICINE SUITE 1AAkron, OH 44304-1423
Mailing Address55 Arch St, Dept Of Internal Medicine Suite 1aAkron, OH 44304-1423 · (330) 375-3315
Sole ProprietorNo
Enumeration DateJune 27, 2008
✔ NPI 1215199559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · NOT ISSUED YET
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
55 ARCH ST, Akron, OH 44304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael James Crotty M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Crotty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 456 clinicians in this Medicare group
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
Internal Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 142 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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
129 services121 patients
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.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%263 patients5/55-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 20

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

Internal Medicine
55 ARCH ST, STE 1B
AKRON, OH 44304
Nurse Practitioner (Gerontology)
55 ARCH ST, STE 2H
AKRON, OH 44304
Internal Medicine (Rheumatology)
55 ARCH ST, 1B
AKRON, OH 44304
Family Medicine
55 ARCH ST, 3A
AKRON, OH 44304
Student in an Organized Health Care Education/Training Program
55 ARCH ST
AKRON, OH 44304
Nurse Anesthetist, Certified Registered
55 ARCH ST
AKRON, OH 44304
Family Medicine
55 ARCH ST, SUITE 3A
AKRON, OH 44304
Nurse Practitioner (Gerontology)
55 ARCH ST, STE 2H
AKRON, OH 44304

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 Michael Crotty's NPI number?

The NPI number for Michael Crotty is 1215199559. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Michael Crotty located?

Michael Crotty practices at 55 Arch St Dept Of Internal Medicine Suite 1A, Akron, OH 44304. The listed phone number is (330) 375-3315.

What is Michael Crotty's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Crotty enrolled in Medicare?

Yes. Michael Crotty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Crotty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Crotty reassigns Medicare benefits to 3 organizations: Hospitalist Medicine Physicians Of Richland County, Ltd (Canton, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH) and Cogent Healthcare Of Tennessee, PC (Dyersburg, TN). 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 Michael Crotty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Crotty accept?

Health plans from CareSource list Michael Crotty 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 Michael Crotty was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.