Doctor profile · Federal record
Dr. Keirsun Crockett, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Neuroradiology Physician · Student in an Organized Health Care Education/Training Program · Marietta, GA
- NPI 1750678967
- Accepts Medicare
- MIPS 90.2 / 100 · 2023
- 15 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
790 Church St Ne
Marietta, GA 300607282
(678) 239-0420 - Additional location
-
12200 Warwick Blvd, Suite 490A
Newport News, VA 236012344
(757) 534-6111
fax (757) 534-6096 - Mailing address
-
Po Box 3157
Indianapolis, IN 462063157
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- February 21, 2024
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Georgia #077719 · Virginia #0116023629
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750678967. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,590
Distinct HCPCS
10
Medicare allowed
$130,628
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9575 |
Injection, gadoterate meglumine, 0.1 ml | 3,590 | 21 | $0 | |
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,535 | 26 | $0 | |
70450 |
Ct scan head or brain without contrast | 675 | 661 | $40 | |
71045 |
X-ray of chest, 1 view | 248 | 236 | $9 | |
72125 |
Ct scan of upper spine without contrast | 213 | 212 | $47 | |
70496 |
Ct scan of blood vessels of head with contrast | 135 | 134 | $83 | |
70498 |
Ct scan of blood vessels of neck with contrast | 131 | 130 | $80 | |
70551 |
Mri scan of brain without contrast | 117 | 117 | $70 | |
72131 |
Ct scan of lower spine without contrast | 78 | 78 | $46 | |
71046 |
X-ray of chest, 2 views | 74 | 74 | $10 |
In context: peer comparison
Among 34 peers in Marietta Diagnostic Radiology Physician, average services per provider: 88. This provider delivers 98× the peer median.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $19.15 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Keirsun Crockett's medical specialty?
Dr. Keirsun Crockett practices Diagnostic Radiology Physician in Marietta, GA.
Where does Dr. Keirsun Crockett practice?
Dr. Keirsun Crockett practices at 790 Church St Ne, Marietta, GA 300607282. Office phone: 6782390420.
What is Dr. Keirsun Crockett's NPI?
Dr. Keirsun Crockett's National Provider Identifier (NPI) is 1750678967, issued by NPPES.
Does Dr. Keirsun Crockett accept Medicare assignment?
Yes. Dr. Keirsun Crockett accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Keirsun Crockett commonly perform?
Top Medicare-reported procedures in 2023: Injection, gadoterate meglumine, 0.1 ml (HCPCS A9575); Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Ct scan head or brain without contrast (HCPCS 70450). Source: CMS Medicare Physician & Other Practitioners file.