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DR. DOUGLAS ZEB CROFTS DO
NPI 1588924658
Family Medicine in Monticello, UT

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
380 W. 100 N., MONTICELLO, UT 84535(435) 587-5054(435) 587-3004 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas Zeb Crofts Do NPPES

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

DR. DOUGLAS ZEB CROFTS DO (NPI 1588924658) is an individual family medicine provider in Monticello, Utah, licensed in Utah (9461575-1204) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2012).

NPPES Registry Identity

NPI1588924658
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS ZEB CROFTSCredential: DO
Location Address380 W. 100 N.Monticello, UT 84535-0308
Mailing AddressPo Box 308, 380 W. 100 N.Monticello, UT 84535-0308 · (435) 587-5054 · Fax (435) 587-3004
Phone(435) 587-5054
Fax(435) 587-3004
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2012
Enumeration DateMay 23, 2012
Last NPPES UpdateNovember 20, 2015
✔ NPI 1588924658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 9461575-1204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
380 W. 100 N., Monticello, UT 84535
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Other Identifiers 1

Medicaid1588924658UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Dr. Douglas Zeb Crofts 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 ID8224351200
PECOS Enrollment IDI20141223002003, I20150910000176
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.

Hospital Affiliations CMS Care Compare 3

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

San Juan Hospital

Critical Access Hospitals · Monticello, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461308
Location380 West 100 NorthMonticello, UT 84535 · San Juan County
Emergency services

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84535 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims38 services$4.73 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers45 claims45 services$42.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers39 claims39 services$113.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers40 claims109 services$44.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers17 claims17 services$73.46 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers37 claims37 services$23.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

UTAH VALLEY RADIOLOGY ASSOC
Radiology (Diagnostic Radiology)
380 W. 100 N.
MONTICELLO, UT 84535
San Juan County (801) 225-6246
DANIEL C MOWER CRNA
Nurse Anesthetist, Certified Registered
380 W. 100 N.
MONTICELLO, UT 84535
San Juan County (435) 587-2116
DR. BILLY JOE BARDIN MD
Radiology (Diagnostic Radiology)
380 W. 100 N.
MONTICELLO, UT 84535
San Juan County (801) 701-6504

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 Douglas Crofts's NPI number?

The NPI number for Douglas Crofts is 1588924658. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Douglas Crofts located?

Douglas Crofts practices at 380 W. 100 N., Monticello, UT 84535. The listed phone number is (435) 587-5054.

What is Douglas Crofts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Crofts enrolled in Medicare?

Yes. Douglas Crofts 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 Douglas Crofts accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Douglas Crofts 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 Douglas Crofts affiliated with any hospitals?

According to CMS data, Douglas Crofts is affiliated with Utah Valley Hospital, San Juan Hospital and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Crofts was last updated on November 20, 2015. 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.