David Crockett
NPI 1104351592ActiveIndividual· Emergency Medicine· Salt Lake City, UT
Emergency Medicine with University of Utah Adult Services, practicing in Salt Lake City, Utah. 312 Medicare patients in 2024, $33,114 paid; nearly all of their 113 Part D prescriptions were generic (91%). Lists Holy Cross Hospital - Salt Lake and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104351592 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 24, 2017 |
| Last updated in NPPES | Nov 12, 2021 |
| Certified by provider | Nov 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 11680436-1205 | UT |
| Emergency Medicine | 207P00000X | 59020 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (TN); Practitioner - Emergency Medicine (TX); Practitioner - Emergency Medicine (UT); Practitioner - Emergency Medicine (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 312 |
|---|---|
| Services billed | 373 across 22 procedure codes |
| Paid by Medicare | $33,114 |
Part D prescriptions in 2024
| Prescriptions (claims) | 113 · 117 30-day fills |
|---|---|
| Patients | 87 |
| Total drug cost | $2,793 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- University of Utah Adult ServicesFarmington, UT · 1,788 clinicians
Hospital affiliations
- Holy Cross Hospital - Salt LakeSalt Lake City, UT
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 220 emergency medicine physicians in Salt Lake City · All emergency medicine physicians in Utah