DR. MARK P CRUZ MD
NPI 1033223227
Emergency Medicine in Austell, GA
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
Specialties & Licenses
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark P Cruz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mark Cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 353 clinicians in this Medicare group
Covington, GA 30014
- Reassigned Medicare billing, Georgia enrollment
- 63 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
AUSTELL, GA 30106
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.
Which organizations bill Medicare for Mark Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Cruz reassigns Medicare benefits to 3 organizations: The Bortolazzo Group, LLC (Austell, GA), Angelfish Emergency Physicians, LLC (Covington, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Cruz accept?
Health plans from Oscar Health and 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.
# Dr. Mark P Cruz, MD · NPI 1033223227
Emergency Medicine physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1033223227 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 047969 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3950 AUSTELL RD, Austell, GA 30106-1121
- **Phone:** (770) 732-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Bortolazzo Group, LLC (NPI 1801965082, Austell, GA); Angelfish Emergency Physicians, LLC (NPI 1407259500, Covington, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2008
- **Other identifiers:** Other 350077800 (GA); Medicaid 00855313G (GA); Medicaid 00855313J (GA); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1033223227) · Data from the CMS NPPES public registry.