KAREN L CROTTY M.D.
NPI 1912905688
Urology in Fort Worth, TX

Q: What is Karen Crotty's NPI number?

The NPI number for Karen Crotty is 1912905688. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Karen Crotty's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Crotty was last updated on August 16, 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 July 07, 2005PECOS EnrolledAccepts Medicare Assignment

75.27/100

CMS Quality Rating

1300 W TERRELL AVE STE 400, FORT WORTH, TX 76104(817) 250-7247 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Karen L Crotty M.d. NPPES

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

KAREN L CROTTY M.D. (NPI 1912905688) is an individual urology provider in Fort Worth, Texas, licensed in Texas (H7007) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1912905688

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameKAREN L CROTTYCredential: M.D.

Location Address1300 W TERRELL AVE STE 400Fort Worth, TX 76104-2829

Mailing Address4500 South Lancaster Rd, Dallas Va Medical CenterDallas, TX 75216 · (214) 742-8387 · Fax (214) 857-1891

Phone(817) 250-7247

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1988

Enumeration DateJuly 7, 2005

Last NPPES UpdateAugust 16, 2023

NPPES CertifiedAugust 15, 2023

✔ NPI 1912905688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in TX · H7007✔ Licensed in LA · 12512R

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1300 W TERRELL AVE STE 400, Fort Worth, TX 76104

Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 South Lancaster Rd, Dallas VA Medical CenterDallas, TX 75216 · Phone (214) 742-8387 ext. 71444 · Fax (214) 857-1891

Other Identifiers 5

Medicaid1537489LA

Other340015057LA · Medicare Railroad

Other1900173LA · United Healthcare

Other2000760LA · Aetna

Other2317825001LA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Karen L Crotty M.d. 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 ID4688684251

PECOS Enrollment IDI20060426000669

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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

180 services112 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

155 services98 patients

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.

43 services41 patients

Complicated insertion of bladder tube 51703

This procedure involves placing a tube into your bladder to help with urine flow. It may be needed if you have trouble urinating naturally. The process requires specialized skill due to certain complexities but is done with utmost care for your comfort.

30 services26 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

29 services29 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

15 services12 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

75.27/100

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

Scored as part of a group practice

Quality

68.07

Promoting Interoperability

100

Improvement Activities

Cost

49.5

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier12 claims1,080 services$1.75 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 8

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

DR. SOHRAB ARORA M.CH.

Urology