RODERICK H JR. CROCKER (MD) – Urology Physician, NPI 1053310367

RODERICK H JR. CROCKER (MD) is a healthcare provider. based in Cambridge, Massachusetts. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 55453 (MA). The NPI Number for RODERICK H JR. CROCKER (MD) is 1053310367

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
RODERICK H JR. CROCKER (MD)
NPI
1053310367
Phone
(617) 547-4400
Address
300 MOUNT AUBURN ST
Enumeration Date
19 July 2005
Last Update Date
13 June 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
6176296000
Graduation Year
1982 (44 years ago)
PAC ID
4981651668
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20050405000631
Address ID
MA021442705SO40XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

365 UROLOGY in MA

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Provider Addresses for RODERICK H JR. CROCKER (MD)

  • 300, Mount Auburn Street, Old Cambridge, Cambridge, Middlesex County, Massachusetts, 02138, United States

    STE 519

    CAMBRIDGE, MA 021385600

    Phone: (617) 547-4400

    Fax: (617) 576-1076

    Type: Location

  • 300 MOUNT AUBURN STREET, SUITE #519

    CAMBRIDGE, MA 021385600

    Phone: (617) 547-4400

    Fax: (617) 576-1076

    Type: Mailing

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 $390.

Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: DENTSPLY IH AB ($194).

Total Amount

$390

General + Research + Ownership

Payments

13

Total payment records

General Amount

$390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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: 2005-04-05

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
I20050405000631IUrologyMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes585423$0
51798Ultrasound measurement of bladder capacity after voiding529505$0
84153Psa (prostate specific antigen) measurement, total431295$0
81003Automated urinalysis test413308$0
99214Established patient office or other outpatient visit, 30-39 minutes411324$0
View full utilization report →

Insurance plans in this area (ZIP 02138)

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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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to RODERICK H JR. CROCKER (MD)?
The federal identifier for RODERICK H JR. CROCKER (MD) is NPI 1053310367.
Is RODERICK H JR. CROCKER (MD)'s NPI currently valid?
The extract we use shows RODERICK H JR. CROCKER (MD) as active.
What does RODERICK H JR. CROCKER (MD) treat or focus on?
Patients typically see RODERICK H JR. CROCKER (MD) under the specialty Urology Physician. Clinical services aligned with this taxonomy classification.
Where is RODERICK H JR. CROCKER (MD)'s primary listing?
We display Cambridge, Massachusetts because that is what the record indicates for RODERICK H JR. CROCKER (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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