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DR. DOUGLAS L CROFF DPM
NPI 1649533183
Podiatrist in Spokane, WA

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
400 E 5TH AVE # 3W, SPOKANE, WA 99202(509) 724-4481(509) 342-3416 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2021, Feb 26, 2016, Dec 15, 2015 (3 updates tracked since 2015).

About Dr. Douglas L Croff Dpm NPPES

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

DR. DOUGLAS L CROFF DPM (NPI 1649533183) is an individual podiatrist in Spokane, Washington, licensed in Washington (PO60986928) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649533183
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. DOUGLAS L CROFFCredential: DPM
Location Address400 E 5TH AVE # 3WSpokane, WA 99202-1334
Mailing Address400 E 5th Ave # 3wSpokane, WA 99202-1334 · (509) 724-4481 · Fax (509) 342-3416
Phone(509) 724-4481
Fax(509) 342-3416
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateJanuary 27, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1649533183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WA · PO60986928
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License E5200 (CA)
400 E 5TH AVE # 3W, Spokane, WA 99202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 L Croff Dpm 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 ID5092018416
PECOS Enrollment IDI20191108002891
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 11

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, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
168 services26 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.
153 services153 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.
114 services89 patients
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.
88 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
54 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
26%318 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
78%5,625 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%631 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
3%1,353 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 999 patients
10%72 patients1/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 503 patients
0%503 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.

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 Croff's NPI number?

The NPI number for Douglas Croff is 1649533183. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Douglas Croff located?

Douglas Croff practices at 400 E 5th Ave # 3W, Spokane, WA 99202. The listed phone number is (509) 724-4481.

What is Douglas Croff's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Douglas Croff enrolled in Medicare?

Yes. Douglas Croff 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 Croff accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Douglas Croff 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 Croff affiliated with any hospitals?

According to CMS data, Douglas Croff is affiliated with Deaconess Medical Center and Multicare Valley Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Croff was last updated on January 27, 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.