Charlene Crockett, MD
NPI 1720379316ActiveIndividual· Ophthalmology· Santa Rosa, CA
Ophthalmology (MD) in Santa Rosa, California, trained at Baylor College of Medicine (class of 2010). Part D covered 343 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1720379316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 29, 2011 |
| Last updated in NPPES | Dec 18, 2023 |
| Certified by provider | Dec 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 191905 | CA |
| Ophthalmology | 207W00000X | MD459666 | PA |
| Ophthalmology | 207W00000X | 75772 | GA |
| Ophthalmology | 207W00000X | P9827 | TX |
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 - Ophthalmology (CA); Practitioner - Ophthalmology (TX) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 343 · 709 30-day fills |
|---|---|
| Patients | 179 |
| Total drug cost | $16,312 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Ophthalmology |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 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 43 ophthalmologists in Santa Rosa · All ophthalmologists in California