1. Home
  2. Directory
  3. Wisconsin
  4. Neenah
  5. Family Medicine
  6. NPI Profile

STEPHEN T CRUZ MD
NPI 1043204951
Family Medicine in Neenah, WI

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Stephen T Cruz Md NPPES

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

STEPHEN T CRUZ MD (NPI 1043204951) is an individual family medicine provider in Neenah, Wisconsin, licensed in Wisconsin (41787) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1993).

NPPES Registry Identity

NPI1043204951
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN T CRUZCredential: MD
Location Address101 MAIN STNeenah, WI 54956-2570
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 727-5810
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1993
Enumeration DateSeptember 7, 2005
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1043204951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 41787
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 MAIN ST, Neenah, WI 54956
Open in Google Maps ↗

Other Identifiers 1

Medicaid34101500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen T Cruz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284764036
PECOS Enrollment IDI20100604001046
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 18

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

MARK D MOHR MD
Internal Medicine
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 727-5810
KELSEY KIENERT M.D.
Internal Medicine
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 720-1463
TOMASZ K MIASKOWSKI MD
Family Medicine
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 727-5810
WILLIAM L NELSON MD
Internal Medicine
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 727-4220
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Clinic/Center (Multi-Specialty)
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 727-4200
NICOLE VER VOORT APNP
Nurse Practitioner
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 720-1463
JAMES R BURNS MD
Internal Medicine
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 727-4220
RACHEL ANN COLLAR
Physician Assistant (Medical)
101 MAIN ST
NEENAH, WI 54956
Winnebago County (920) 727-4200

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 Stephen Cruz's NPI number?

The NPI number for Stephen Cruz is 1043204951. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Stephen Cruz located?

Stephen Cruz practices at 101 Main St, Neenah, WI 54956. The listed phone number is (920) 727-5810.

What is Stephen Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Cruz enrolled in Medicare?

Yes. Stephen Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Cruz accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and CareSource (Common Ground Healthcare) list Stephen 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 Stephen Cruz was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.