THEODORE W CROFFORD MD
NPI 1265473466
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Fort Worth, TX

Q: What is Theodore Crofford's NPI number?

The NPI number for Theodore Crofford is 1265473466. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Theodore Crofford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Crofford was last updated on May 27, 2014. 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

75.27/100

CMS Quality Rating

6301 HARRIS PKWY STE 300, FORT WORTH, TX 76132(817) 877-3432(817) 346-4394 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theodore W Crofford Md NPPES

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

THEODORE W CROFFORD MD (NPI 1265473466) is an individual adult reconstructive orthopaedic surgery provider in Fort Worth, Texas, licensed in Texas (H0273) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Texas Medical Branch At Galveston (1985).

NPPES Registry Identity

NPI1265473466

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameTHEODORE W CROFFORDCredential: MD

Location Address6301 HARRIS PKWY STE 300Fort Worth, TX 76132-4245

Mailing Address6301 Harris Pkwy Ste 300Fort Worth, TX 76132-4245 · (817) 877-3432 · Fax (817) 346-4394

Phone(817) 877-3432

Fax(817) 346-4394

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1985

Enumeration DateJune 9, 2006

Last NPPES UpdateMay 27, 2014

✔ NPI 1265473466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in TX · H0273

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

6301 HARRIS PKWY STE 300, Fort Worth, TX 76132

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Other Identifiers 6

Other80093YTN · Blue Cross & Blue Shield

Medicare UPINB22034TX

Medicaid080486601TX

Medicare PIN267668YKPWTX

Medicaid137134612TX

Medicare PIN8370J3TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Theodore W Crofford 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 ID446394787

PECOS Enrollment IDI20100419000479

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 12

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

332 services43 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.

183 services138 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.

96 services96 patients

X-ray of pelvis, minimum of 3 views 72190

An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.

92 services77 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

89 services80 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

81 services66 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Palo Pinto General Hospital

Acute Care Hospitals · Mineral Wells, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450565

Location400 Southwest 25 AveMineral Wells, TX 76067 · Palo Pinto County

Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450677

Location11801 South FreewayBurleson, TX 76028 · Johnson County

Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450779

Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County

Emergency services Birthing friendly

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.

75.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.07

Promoting Interoperability

100

Improvement Activities

Cost

49.5

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier63 claims63 services$43.89 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

1 supplier33 claims33 services$49.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

SARAH ELIZABETH HERR PA

Physician Assistant (Surgical)