PERCY VANDORN CROCKER (M.D.) – Otolaryngology Physician, NPI 1811990765

PERCY VANDORN CROCKER (M.D.) is a healthcare provider. based in Mobile, Alabama. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 00006625 (AL). The NPI Number for PERCY VANDORN CROCKER (M.D.) is 1811990765

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
PERCY VANDORN CROCKER (M.D.)
NPI
1811990765
Phone
(251) 473-1900
Address
2880 DAUPHIN ST
Enumeration Date
24 May 2005
Last Update Date
19 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2514717000
Graduation Year
1973 (53 years ago)
PAC ID
2163548587
Group Practice PAC ID
9931436912
Professional Enrollment ID
I20100923000079
Address ID
AL366172300MO2451XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

182 OTOLARYNGOLOGY in AL

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Provider Addresses for PERCY VANDORN CROCKER (M.D.)

  • Dauphin Street, Dauphin Acres, Mobile, Mobile County, Alabama, 36607, United States

    MOBILE, AL 366062457

    Phone: (251) 473-1900

    Fax: (251) 470-8943

    Type: Mailing

  • Providence Park Drive, Huntleigh Woods, Mobile, Mobile County, Alabama, 36685, United States

    BLDG 2, SUITE 203

    MOBILE, AL 366954622

    Phone: (251) 633-2667

    Fax: (251) 633-2179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: GENZYME CORPORATION ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GENZYME CORPORATION$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100923000079IOtolaryngologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931436912View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Physician AssistantAL
-AL
O B S T E T R I C S/ G Y N E C O L O G YAL
Cardiac Surgery, Vascular SurgeryGA
Cardiovascular Disease (Cardiology), Internal MedicineAL
R H E U M A T O L O G YAL
-AL
-AL
-FL

Reviews

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Frequently asked questions

What NPI should I save for PERCY VANDORN CROCKER (M.D.)?
Save NPI 1811990765 if you need a stable reference for PERCY VANDORN CROCKER (M.D.).
Is PERCY VANDORN CROCKER (M.D.) active in the national directory?
PERCY VANDORN CROCKER (M.D.)'s public NPI profile is in an active state.
Does PERCY VANDORN CROCKER (M.D.) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for PERCY VANDORN CROCKER (M.D.). Clinical services aligned with this taxonomy classification.
Does PERCY VANDORN CROCKER (M.D.) practice in Alabama?
You will see Mobile, Alabama on file for PERCY VANDORN CROCKER (M.D.) alongside any extra practice locations.
What if Mobile, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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