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Active NPI 1295897957 Individual Practitioner Male Practitioner

Randall B Crockett , PA

Physician Assistant • Snowflake, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Randall Crockett, PA is a certified Physician Assistant practicing in Snowflake, AZ. With approximately 28 years of clinical experience since completing medical education in 1998, Randall Crockett delivers high-quality medical care to the local community at 1121 S MAIN ST.

Randall Crockett is affiliated with Summit Healthcare Medical Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1121 S Main St

Snowflake, AZ 859375645

Telephone 9285365858
Fax 9285362196
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Snowflake, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +7.0 yrs vs City Avg
City Avg: 21.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Snowflake, AZ (3711 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crockett (28 Years) 28 Yrs
Snowflake Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
77 61 $9.00 $3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 22 $281.00 $83.25

Medical Specialties & State Licenses

CMS Verified: 2024-04-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 7107

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
433696 (AZ)

Hospital & Practice Group Affiliations

Summit Healthcare Medical Associates

1121 S Main St, Snowflake, AZ 859375645

Phone: 9285365858

Summit Healthcare Medical Associates

5171 Cub Lake Rd, Show Low, AZ 859017888

Phone: 9285379944

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. David Murphy , DO

Family Medicine

NPI 1417480047

Doctor of Osteopathic Medicine (D.O.)

Dr. Chad Brimhall , MD

Family Medicine

NPI 1699095976

Doctor of Medicine (M.D.)

Maggie Price , PA-C

Physician Assistant

NPI 1700217718

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 22, 2020

Registered at 1121 S MAIN ST, SNOWFLAKE, AZ 859375645 (Tel: 9285365858)

📍
Updated Business Mailing Address June 22, 2020

Registered at 1121 S MAIN ST, SNOWFLAKE, AZ 859375645 (Tel: 9285365858)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2020

Physician Assistant (License #7107 in AZ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 830 N 2000 W, PLEASANT GROVE, UT 840624047 (Tel: 8017563511)

📍
Updated Business Mailing Address July 08, 2007

Registered at 830 N 2000 W, PLEASANT GROVE, UT 840624047 (Tel: 8017563511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL CROCKETT, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #2952951206 in UT)

🟢
Initial NPI Registration & Enumeration December 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295897957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: April 12, 2024
Sole Proprietor: No

Mailing Address

1121 S Main St

Snowflake, AZ 859375645

Phone: 9285365858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.