Justin Crockett
NPI 1417583915ActiveIndividual· Optometrist· Glendale, AZ
Optometrist with Wind River Family and Community Healthc Care, practicing in Glendale, Arizona. Their prescriptions cost Medicare Part D more than their services did: $49,028 for 663 claims, against $3,402 paid for services in 2024.
Overview
| NPI | 1417583915 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 16, 2020 |
| Last updated in NPPES | Dec 7, 2021 |
| Certified by provider | Dec 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPT-002445 | AZ |
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 - Optometry (AZ); Practitioner - Optometry (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 46 across 9 procedure codes |
| Paid by Medicare | $3,402 |
Part D prescriptions in 2024
| Prescriptions (claims) | 663 · 1,629 30-day fills |
|---|---|
| Patients | 187 |
| Total drug cost | $49,028 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Wind River Family and Community Healthc CareArapahoe, WY · 42 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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All 145 optometrists in Glendale · All optometrists in Arizona