DR. DEIDRE DENISE CROCKER (MD) – Allergy & Immunology Physician, NPI 1790947117
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 ALLERGY/IMMUNOLOGY in GA
Provider Addresses for DR. DEIDRE DENISE CROCKER (MD)
2390 WALL ST SE
CONYERS, GA 300132150
Phone: (770) 922-5696
Fax: (770) 922-1065
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $5,379.
Total Amount is formed as General ($5,379) + Research ($0) + Ownership ($0) = $5,379.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Genentech USA, Inc. ($4,147).
Total Amount
$5,379
General + Research + Ownership
Payments
47
Total payment records
General Amount
$5,379
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $4,147 |
| GlaxoSmithKline, LLC. | $441 |
| SANOFI-AVENTIS U.S. LLC | $100 |
| Amgen Inc. | $97 |
| Novartis Pharmaceuticals Corporation | $96 |
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: 2011-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110726000032 | I | Allergy/Immunology | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,020 | 55 | $0 |
| 95117 | Professional service for multiple injections of allergen | 436 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 36 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 27 | 18 | $0 |
Insurance plans in this area (ZIP 30013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA |
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