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DR. LAURA MCILWAIN CRUSE MD
NPI 1043322019
Internal Medicine - Rheumatology in Tampa, FL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
13801 BRUCE B DOWNS BLVD STE 406, TAMPA, FL 33613(813) 345-2380(813) 971-5247 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Laura Mcilwain Cruse Md NPPES

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

DR. LAURA MCILWAIN CRUSE MD (NPI 1043322019) is an individual rheumatology provider in Tampa, Florida, licensed in Florida (ME84358) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1043322019
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. LAURA MCILWAIN CRUSECredential: MD
Location Address13801 BRUCE B DOWNS BLVD STE 406Tampa, FL 33613
Mailing Address13801 Bruce B Downs Blvd Ste 406Tampa, FL 33613-3923 · (813) 345-2380 · Fax (813) 971-5247
Phone(813) 345-2380
Fax(813) 971-5247
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 1, 2018
✔ NPI 1043322019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME84358
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME84358 (FL)
13801 BRUCE B DOWNS BLVD STE 406, Tampa, FL 33613
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Laura Elizabeth Mcilwain Md

Secondary Practice Location 1

Location 14700 N Habana Ave, Suite 201Tampa, FL 33614-7117 · Phone (813) 879-5485 ext. 2225 · Fax (813) 871-6141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Dr. Laura Mcilwain Cruse 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 ID1658340914
PECOS Enrollment IDI20041002000048
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 3

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 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.
531 services239 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100211
Location13100 Ft King RdDade City, FL 33525 · Pasco County

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KIMBERLY MCILWAIN SMITH MD
Internal Medicine (Rheumatology)
13801 BRUCE B DOWNS BLVD STE 406
TAMPA, FL 33613
Hillsborough County (813) 345-2380
JOSE E SARRIA MD
Pain Medicine (Interventional Pain Medicine)
13801 BRUCE B DOWNS BLVD STE 406
TAMPA, FL 33613
Hillsborough County (813) 444-0989
NICOLE A BROOKS ARNP
Nurse Practitioner (Family)
13801 BRUCE B DOWNS BLVD STE 406
TAMPA, FL 33613
Hillsborough County (813) 444-0989

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 Laura Cruse's NPI number?

The NPI number for Laura Cruse is 1043322019. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Dr. Laura Elizabeth Mcilwain MD.

Where is Laura Cruse located?

Laura Cruse practices at 13801 Bruce B Downs Blvd Ste 406, Tampa, FL 33613. The listed phone number is (813) 345-2380.

What is Laura Cruse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Laura Cruse enrolled in Medicare?

Yes. Laura Cruse 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 Laura Cruse accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Laura Cruse 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.

Is Laura Cruse affiliated with any hospitals?

According to CMS data, Laura Cruse is affiliated with Florida Hospital Zephyrhills, St Josephs Hospital, Adventhealth Tampa, Adventhealth Dade City and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Laura Cruse was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.