Wesley Dennis Crockett, O.D.
NPI 1417243874ActiveIndividual· Optometrist· Show Low, AZ
Optometrist (O.D.) in Show Low, Arizona, trained at Pacific University - College of Optometry (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $8,449 for 398 claims, against $868.62 paid for services in 2024.
Overview
| NPI | 1417243874 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jun 23, 2011 |
| Last updated in NPPES | Apr 7, 2025 |
| Certified by provider | Apr 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3397ATI | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (AZ); Practitioner - Optometry (OR); Practitioner - Ophthalmology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 19 across 5 procedure codes |
| Paid by Medicare | $868.62 |
Part D prescriptions in 2024
| Prescriptions (claims) | 398 · 566 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $8,449 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Optometry |
Medical group
- Barnet Dulaney Perkins Eye Center, PCSun City, AZ · 105 clinicians
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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