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DR. REBECCA ELIZABETH CROCKETT DO
NPI 1376702241
Obstetrics & Gynecology in Willoughby, OH

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
5105 SOM CENTER ROAD, SUITE 201, WILLOUGHBY, OH 44094(440) 602-6710(440) 269-8107 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rebecca Elizabeth Crockett Do NPPES

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

DR. REBECCA ELIZABETH CROCKETT DO (NPI 1376702241) is an individual obstetrics & gynecology provider in Willoughby, Ohio, licensed in Ohio (34.009381) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Lake Health, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1376702241
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. REBECCA ELIZABETH CROCKETTCredential: DO
Location Address5105 SOM CENTER ROAD, SUITE 201Willoughby, OH 44094
Mailing Address7590 Auburn Rd Ste 14Concord Twp, OH 44077-9176 · (440) 354-1899 · Fax (440) 354-1845
Phone(440) 602-6710
Fax(440) 269-8107
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 5, 2008
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1376702241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 34.009381✔ Licensed in OH · 58.001481
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.
5105 SOM CENTER ROAD, Willoughby, OH 44094
Open in Google Maps ↗

Secondary Practice Location 1

Location 11040 Delaware AveMarion, OH 43302-6416 · Phone (740) 383-8080 · Fax (740) 383-8084

Other Identifiers 1

Medicaid2867858OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Rebecca Elizabeth Crockett Do 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 ID5597830638
PECOS Enrollment IDI20080825000158
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 Rebecca Crockett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Hospital System
0.4 mi
Obstetrics & Gynecology
36000 EUCLID AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1346202512 (440) 354-1618
University Hospitals Medical Group Inc
12 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Marion Area Physicians LLC
114 mi
Internal Medicine
1040 DELAWARE AVE
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group
NPI 1619230802 (740) 383-7000

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.

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.
35 services24 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

MR. THOMAS J SZAKAL PT
Physical Therapist
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Lake County (440) 953-5792
DR. HENRY EMIL VUCETIC MD
Anesthesiology (Pain Medicine)
5105 SOM CENTER ROAD, SUITE 202
WILLOUGHBY, OH 44094
Lake County (440) 953-5760
KAISER FOUNDATION HEALTH PLAN
Clinic/Center
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Lake County (216) 265-8844
DR. MAHBOOB ALI QUADERI M.D.
Internal Medicine
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Lake County (216) 524-7377
MRS. KATHLEEN ANN WALSH N.P.
Nurse Practitioner
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Lake County (216) 524-7377
ELISE D. LEONE CNP
Nurse Practitioner
5105 SOM CENTER ROAD, STE 202
WILLOUGHBY, OH 44094
Lake County (440) 953-5760
RICHARD STEIN M.D.
Surgery
5105 SOM CENTER ROAD, SUITE 107
WILLOUGHBY, OH 44094
Lake County (440) 953-5712
NICHOLAS JAMES ZIELINSKI PA-C
Physician Assistant
5105 SOM CENTER ROAD, SUITE 202
WILLOUGHBY, OH 44094
Lake County (440) 953-5760

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 Rebecca Crockett's NPI number?

The NPI number for Rebecca Crockett is 1376702241. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Rebecca Crockett located?

Rebecca Crockett practices at 5105 Som Center Road Suite 201, Willoughby, OH 44094. The listed phone number is (440) 602-6710.

What is Rebecca Crockett's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rebecca Crockett enrolled in Medicare?

Yes. Rebecca Crockett 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 Rebecca Crockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Crockett reassigns Medicare benefits to 3 organizations: Lake Hospital System (Willoughby, OH), University Hospitals Medical Group Inc (Cleveland, OH) and Marion Area Physicians LLC (Marion, OH). 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 Rebecca Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Crockett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Rebecca Crockett 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 Rebecca Crockett affiliated with any hospitals?

According to CMS data, Rebecca Crockett is affiliated with Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Rebecca Crockett was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.