JARED ALLEN CROTHERS (M.D.) – Otolaryngology Physician, NPI 1104052042

JARED ALLEN CROTHERS (M.D.) is a healthcare provider. based in Usaf academy, Colorado. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 46624 (TN). The NPI Number for JARED ALLEN CROTHERS (M.D.) is 1104052042

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JARED ALLEN CROTHERS (M.D.)
NPI
1104052042
Phone
(719) 333-5142
Address
4102 PINION DR
Enumeration Date
5 June 2009
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7575995505
Graduation Year
2009 (17 years ago)
PAC ID
8224353115
Group Practice PAC ID
5092608448
Professional Enrollment ID
I20241113002784
Address ID
VA236063080NE895XXBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

226 OTOLARYNGOLOGY in CO

Provider Addresses for JARED ALLEN CROTHERS (M.D.)

  • 4102 PINION DR

    USAF ACADEMY, CO 808402502

    Phone: (719) 333-5142

    Type: Mailing

  • PO BOX 100264

    GAINESVILLE, FL 326100264

    Phone: (352) 273-5199

    Fax: (352) 392-6781

    Type: Mailing

  • 895 City Center Blvd Ste 152

    Newport News, VA 236063080

    Phone: (757) 599-5505

    Fax: (757) 599-3618

    Type: Location

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326102502

    Phone: (352) 273-5199

    Fax: (352) 392-6781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,101.

Total Amount is formed as General ($1,101) + Research ($0) + Ownership ($0) = $1,101.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,029).

Total Amount

$1,101

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-13

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
I20241113002784IOtolaryngologyVATBD

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 80840)

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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: 5092608448View full group profile

Reviews

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Frequently asked questions

Does JARED ALLEN CROTHERS (M.D.) have a public NPI I can cite?
Public records show JARED ALLEN CROTHERS (M.D.) under NPI 1104052042.
Is JARED ALLEN CROTHERS (M.D.)'s NPI status active today?
Active status means JARED ALLEN CROTHERS (M.D.)'s NPI record is not deactivated in the public file.
What services align with JARED ALLEN CROTHERS (M.D.)'s listing?
JARED ALLEN CROTHERS (M.D.)'s public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JARED ALLEN CROTHERS (M.D.)?
The directory associates JARED ALLEN CROTHERS (M.D.) with Usaf Academy, Colorado. Check all listed addresses for suites or satellite offices.
Can I export JARED ALLEN CROTHERS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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