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JUSTIN ADAMS CROCKER
NPI 1447410394
Internal Medicine - Gastroenterology in Raleigh, NC

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment
3480 WAKE FOREST RD, SUITE 500, RALEIGH, NC 27609(919) 862-5075 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Adams Crocker NPPES

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

JUSTIN ADAMS CROCKER (NPI 1447410394) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (2014-00470) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1447410394
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJUSTIN ADAMS CROCKER
Location Address3480 WAKE FOREST RD, SUITE 500Raleigh, NC 27609-7376
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Phone(919) 862-5075
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 13, 2008
Last NPPES UpdateJuly 14, 2016
✔ NPI 1447410394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 2014-00470
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3480 WAKE FOREST RD, Raleigh, NC 27609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Justin Adams Crocker 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 ID9335376102
PECOS Enrollment IDI20140626002395
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 7

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 straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services53 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
50 services50 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
39 services38 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

PRIVATE DIAGNOSTIC CLINIC, PLLC
Neurological Surgery
3480 WAKE FOREST RD, SUITE 500
RALEIGH, NC 27609
Wake County (919) 862-5075
DR. JUSTIN RICHARD SCRUGGS M.D.
Physical Medicine & Rehabilitation
3480 WAKE FOREST RD, # 208
RALEIGH, NC 27609
Wake County (919) 781-4541
AARON C LENTZ M.D.
Urology
3480 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5600
JESSICA RENEE JONES PA
Physician Assistant
3480 WAKE FOREST RD, SUITE 414
RALEIGH, NC 27609
Wake County (919) 862-5970
MR. ZACHARY YATES LENNON AGACNP-BC
Nurse Practitioner (Acute Care)
3480 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 684-4267
KENSI COBB SAIA AUDIOLOGIST
Audiologist
3480 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 684-8111
MS. KATHERINE ANNE GILLIS PA-C
Physician Assistant (Surgical)
3480 WAKE FOREST RD, SUITE 512
RALEIGH, NC 27609
Wake County (919) 862-5970
MELISSA CATHLEEN GINESI AUDIOLOGIST
Audiologist
3480 WAKE FOREST RD, SUITE 404
RALEIGH, NC 27609
Wake County (919) 684-8111

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 Justin Crocker's NPI number?

The NPI number for Justin Crocker is 1447410394. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Justin Crocker located?

Justin Crocker practices at 3480 Wake Forest Rd Suite 500, Raleigh, NC 27609. The listed phone number is (919) 862-5075.

What is Justin Crocker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Justin Crocker enrolled in Medicare?

Yes. Justin Crocker 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 Justin Crocker accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Justin Crocker 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 Justin Crocker affiliated with any hospitals?

According to CMS data, Justin Crocker is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Crocker was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.