CARMEN DENISE CROFOOT (MD) – Orthopaedic Surgery Physician, NPI 1124070214
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CARMEN DENISE CROFOOT (MD)
Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States
SUITE 300
BREWER, ME 04412
Phone: (570) 271-6144
Type: Mailing
3, Union Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044013051
Phone: (207) 973-9980
Fax: (207) 973-9980
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $2,562.
Total Amount is formed as General ($2,562) + Research ($0) + Ownership ($0) = $2,562.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($2,516).
Total Amount
$2,562
General + Research + Ownership
Payments
13
Total payment records
General Amount
$2,562
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $2,516 |
| Davol Inc. | $46 |
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: 2007-05-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20070519000099 | I | Orthopedic Surgery | ME | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 134 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 79 | 79 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 76 | 57 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 24 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 04412)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | ME | 20610 | Aspiration and/or injection of large joint or joint capsule | 70 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Thoracic Surgery | ME | |
| H O S P I T A L I S T | ME | |
| - | NJ | |
| Registered Dietitian Or Nutrition Professional | ME |
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