EDGARDO CRUZ-MARTINEZ MD
NPI 1124081237
Psychiatry & Neurology - Neurology in Ocala, FL

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
1500 SE MAGNOLIA EXT, SUITE 205, OCALA, FL 34471(352) 629-1800(352) 629-1888 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgardo Cruz-martinez Md NPPES

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

EDGARDO CRUZ-MARTINEZ MD (NPI 1124081237) is an individual neurology provider in Ocala, Florida, licensed in Florida (ME78169) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1124081237
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameEDGARDO CRUZ-MARTINEZCredential: MD
Location Address1500 SE MAGNOLIA EXT, SUITE 205Ocala, FL 34471-4463
Mailing Address1500 Se Magnolia Ext, Suite 205Ocala, FL 34471-4463 · (352) 629-1800 · Fax (352) 629-1888
Fax(352) 629-1888
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 10, 2006
Last NPPES UpdateDecember 14, 2015
NPI 1124081237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME78169
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License ME78169 (FL)
1500 SE MAGNOLIA EXT, Ocala, FL 34471

Other Identifiers 6

Medicare UPINH17087FL
Medicaid281123500FL
Medicare PIN35563X
Other5482350FL · First Health
Other274278FL · Avmed
Other35563FL · Bcbs

Accepted 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

Edgardo Cruz-martinez 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 ID2264496397
PECOS Enrollment IDI20041118000173
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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
122 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services67 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
15 services15 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
9%457 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Family Medicine
1500 SE MAGNOLIA EXT, SUITE 205
OCALA, FL 34471
Optometrist (Low Vision Rehabilitation)
1500 SE MAGNOLIA EXT, SUITE 101
OCALA, FL 34471
Ophthalmology
1500 SE MAGNOLIA EXT, SUITE 106
OCALA, FL 34471
Internal Medicine
1500 SE MAGNOLIA EXT, SUITE 201
OCALA, FL 34471
Physician Assistant
1500 SE MAGNOLIA EXT, SUITE 203
OCALA, FL 34471
Ophthalmology
1500 SE MAGNOLIA EXT, SUITE 106
OCALA, FL 34471
Specialist
1500 SE MAGNOLIA EXT, SUITE 201
OCALA, FL 34471
General Practice
1500 SE MAGNOLIA EXT, SUITE 201
OCALA, FL 34471

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 Edgardo Cruz-martinez's NPI number?

The NPI number for Edgardo Cruz-martinez is 1124081237. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Edgardo Cruz-martinez located?

Edgardo Cruz-martinez practices at 1500 SE Magnolia Ext Suite 205, Ocala, FL 34471. The listed phone number is (352) 629-1800.

What is Edgardo Cruz-martinez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Edgardo Cruz-martinez enrolled in Medicare?

Yes. Edgardo Cruz-martinez 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 Edgardo Cruz-martinez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Edgardo Cruz-martinez 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 Edgardo Cruz-martinez affiliated with any hospitals?

According to CMS data, Edgardo Cruz-martinez is affiliated with Hca Florida Lake City Hospital and Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Edgardo Cruz-martinez was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.