JUSTIN CROP D.O.
NPI 1801090659
Family Medicine in American Fork, UT

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
226 N 1100 E, AMERICAN FORK, UT 84003(801) 855-3840 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Crop D.o. NPPES

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

JUSTIN CROP D.O. (NPI 1801090659) is an individual family medicine provider in American Fork, Utah, licensed in Utah (9455475-1204) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2007).

NPPES Registry Identity

NPI1801090659
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN CROPCredential: D.O.
Location Address226 N 1100 EAmerican Fork, UT 84003-2054
Mailing Address226 N 1100 EAmerican Fork, UT 84003-2054 · (801) 855-3840
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2007
Enumeration DateJune 14, 2007
Last NPPES UpdateApril 22, 2016
NPI 1801090659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in UT · 9455475-1204 Licensed in NE · 5686 Licensed in NV · DO1815
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.

226 N 1100 E, American Fork, UT 84003

Accepted 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 Crop D.o. 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 ID6002005063
PECOS Enrollment IDI20150811005758
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 15

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 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.
210 services117 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 services90 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
99 services99 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
64 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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 2

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

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers16 claims16 services$13.35 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$206.33 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 20

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

Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Nurse Practitioner (Primary Care)
226 N 1100 E
AMERICAN FORK, UT 84003
Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Dentist (Pediatric Dentistry)
226 N 1100 E
AMERICAN FORK, UT 84003
Dentist (General Practice)
226 N 1100 E, SUITE D
AMERICAN FORK, UT 84003
Physician Assistant
226 N 1100 E
AMERICAN FORK, UT 84003

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 Crop's NPI number?

The NPI number for Justin Crop is 1801090659. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Justin Crop located?

Justin Crop practices at 226 N 1100 E, American Fork, UT 84003. The listed phone number is (801) 855-3840.

What is Justin Crop's specialty?

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

Is Justin Crop enrolled in Medicare?

Yes. Justin Crop 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 Crop accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Justin Crop 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 Crop affiliated with any hospitals?

According to CMS data, Justin Crop is affiliated with American Fork Hospital, Holy Cross Hospital-Jordan Valley and Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Crop was last updated on April 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.