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DR. MARK P CRUZ MD
NPI 1033223227
Emergency Medicine in Austell, GA

Active since August 18, 2006PECOS Enrolled
92.93/100
CMS Quality Rating
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark P Cruz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK P CRUZ MD (NPI 1033223227) is an individual emergency medicine provider in Austell, Georgia, licensed in Georgia (047969) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033223227
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK P CRUZCredential: MD
Location Address3950 AUSTELL RDAustell, GA 30106-1121
Mailing Address5665 New Northside Dr Nw, Suite 320Atlanta, GA 30328-5831 · (770) 874-5400 · Fax (770) 874-5469
Phone(770) 732-4000
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 3, 2008
✔ NPI 1033223227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 047969
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3950 AUSTELL RD, Austell, GA 30106
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Other Identifiers 10

Other350077800GA · Dol
Medicaid00855313GGA
Medicaid00855313JGA
Medicare ID-Type Unspecified93BDNMCGA · Medicare Kennestone
Medicare UPINH14727GA
Medicaid00855313HGA
Medicare ID-Type Unspecified93BDNMFGA · Medicaid Paulding
Medicare ID-Type Unspecified93BDNMGGA · Medicare Douglas
Medicaid00855313FGA
Medicare ID-Type Unspecified93BDNMDGA · Medicare Cobb

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark P Cruz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
412 services406 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
132 services132 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
108 services108 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm 12002
This is a procedure to mend a surface wound measuring between 2.6-7.5 cm on your scalp, neck, underarms, trunk, arms, or legs. It involves cleaning, closing and dressing the wound to promote healing and prevent infection.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOLI ANN WILSON D.O.
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MAGGI STUART MARKWELL
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MUHAMMAD NAJEEB MBBS
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 267-2000
SEGEN MEDICAL GROUP, P.C.
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 939-3301
DR. KATHRYN SHIPP RHYNE MD
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 732-4415
MRS. NOMIKI NIKITADENA CATSULIS APRN, PNP-PC
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
DR. YOUSEF HINDI MD
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4025
MICHELLE PRESLEY
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Cruz's NPI number?

The NPI number for Mark Cruz is 1033223227. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Cruz located?

Mark Cruz practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.

What is Mark Cruz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Cruz enrolled in Medicare?

Yes. Mark Cruz is registered in the Medicare PECOS enrollment system.

What insurance does Mark Cruz accept?

Health plans from Oscar Insurance Company list Mark Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Cruz was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.