JACK W CROSLAND (MD) – Orthopaedic Surgery Physician, NPI 1750373247

JACK W CROSLAND (MD) is a healthcare provider. based in Ogden, Utah. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 159595-1205 (UT). The NPI Number for JACK W CROSLAND (MD) is 1750373247

Main info

Male
Name
JACK W CROSLAND (MD)
NPI
1750373247
Phone
(801) 393-5355
Address
2240 ADAMS AVE
Enumeration Date
19 August 2005
Last Update Date
22 November 2011
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

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Provider Addresses for JACK W CROSLAND (MD)

  • 2240, Adams Avenue, 25th Street, Ogden, Weber County, Utah, 84401, United States

    OGDEN, UT 844011511

    Phone: (801) 393-5355

    Fax: (801) 394-4609

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-12-08

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
I20081208000642IOrthopedic SurgeryUTTBD

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 84401)

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Reviews

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Frequently asked questions

What is JACK W CROSLAND (MD)'s NPI number?
JACK W CROSLAND (MD)'s NPI is 1750373247 — the number used across U.S. healthcare to identify this provider.
Would JACK W CROSLAND (MD) appear as active to a payer?
You can treat JACK W CROSLAND (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JACK W CROSLAND (MD)?
JACK W CROSLAND (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACK W CROSLAND (MD)?
Travel planning: use Ogden, Utah as the reference point for JACK W CROSLAND (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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