CHARLENE CROCKETT MD
NPI 1720379316
Ophthalmology in Santa Rosa, CA

Q: What is Charlene Crockett's NPI number?

The NPI number for Charlene Crockett is 1720379316. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Q: What is Charlene Crockett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Charlene Crockett was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 29, 2011PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 393-4033 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2021, Aug 11, 2017, Dec 18, 2015 (3 updates tracked since 2015).

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About Charlene Crockett Md NPPES

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

CHARLENE CROCKETT MD (NPI 1720379316) is an individual ophthalmology provider in Santa Rosa, California, licensed in California (191905) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2010).

NPPES Registry Identity

NPI1720379316

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameCHARLENE CROCKETTCredential: MD

Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719

Mailing Address3925 Old Redwood HwySanta Rosa, CA 95403-1719

Phone(707) 393-4033

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2010

Enumeration DateApril 29, 2011

Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1720379316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in CA · 191905✔ Licensed in PA · MD459666✔ Licensed in GA · 75772✔ Licensed in TX · P9827

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3925 OLD REDWOOD HWY, Santa Rosa, CA 95403

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Other Identifiers 3

Medicaid349043503TX

Medicaid349043505TX

Medicaid349043504TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Charlene Crockett 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 ID6002121217

PECOS Enrollment IDI20240814003900

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

91.34/100

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

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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.

LUCILLE HESTER BRONGERSMA O.D.

Optometrist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5297

CRISTINA PAPPAS SILVERBERG

Speech-Language Pathologist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (205) 247-2389

DR. JEFF MILLER MD

Pediatrics

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5312

MS. GAIL PROSSER RD, CDE

Dietitian, Registered (Nutrition, Pediatric)

3925 OLD REDWOOD HWY, DEPT OF PEDIATRICS
SANTA ROSA, CA 95403

Sonoma County (707) 566-5358

DR. JANE H LEE-KOIDA O.D.

Optometrist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5342

DR. CHRISTINE W KU M.D.

Specialist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5452

MS. ANGELA BIZZARRI PFLUGRATH DO

Pediatrics

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4033

ELIZABETH NGUYEN TRAN OD

Optometrist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5974

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 Charlene Crockett's NPI number?

The NPI number for Charlene Crockett is 1720379316. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Charlene Crockett located?

Charlene Crockett practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 393-4033.

What is Charlene Crockett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Charlene Crockett enrolled in Medicare?

Yes. Charlene 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.

What insurance does Charlene Crockett accept?

Health plans from Blue Cross and Blue Shield of Texas list Charlene 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.

When was this NPI record last updated?

The NPPES record for Charlene Crockett was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.