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

Q: 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.

Q: What is Edgardo Cruz-martinez's specialty?

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

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: October 18, 2026.

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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

Phone(352) 629-1800

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

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Other Identifiers 6

Medicare UPINH17087FL

Medicaid281123500FL

Medicare PIN35563X

Other5482350FL · First Health

Other274278FL · Avmed

Other35563FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Edgardo Cruz-martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ocala Health Surgical Group LLC

4.7 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4600 SW 46TH CT, SUITE 250
Ocala, FL 34474

Reassigned Medicare billing, Florida enrollment
52 clinicians in this Medicare group

NPI 1659540524 (352) 291-2400

North Florida Surgical Associates LLC

38 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1121 NW 64TH TER, SUITE B
Gainesville, FL 32605

Reassigned Medicare billing, Florida enrollment
48 clinicians in this Medicare group

NPI 1982688628 (352) 331-3583

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 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 3

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

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100232

Location611 Zeagler DrPalatka, FL 32177 · Putnam County

Emergency services

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.

JAMES L MCLAUGHLIN MD

Family Medicine

1500 SE MAGNOLIA EXT, SUITE 205
OCALA, FL 34471

Marion County (352) 732-2266

ANNE MARIE MENJIVAR O.D.

Optometrist (Low Vision Rehabilitation)

1500 SE MAGNOLIA EXT, SUITE 101
OCALA, FL 34471

Marion County (352) 622-5183

DR. GORDON C. SCHWENK M.D.

Ophthalmology

1500 SE MAGNOLIA EXT, SUITE 106
OCALA, FL 34471

Marion County (352) 622-5183

DR. HENRY LYTLE HARRELL JR. M.D.

Internal Medicine

1500 SE MAGNOLIA EXT, SUITE 201
OCALA, FL 34471

Marion County (352) 732-7680

JAY M WALKER PA-C

Physician Assistant

1500 SE MAGNOLIA EXT, SUITE 203
OCALA, FL 34471

Marion County (352) 351-1883

DR. RICHARD C. WARREN M.D.

Ophthalmology

1500 SE MAGNOLIA EXT, SUITE 106
OCALA, FL 34471

Marion County (352) 622-5183

KHALED O SHEBANI MD, INC

Specialist

1500 SE MAGNOLIA EXT, SUITE 201
OCALA, FL 34471

Marion County (352) 620-2711

DR. KHALED OMAR SHEBANI MD

General Practice

1500 SE MAGNOLIA EXT, SUITE 201
OCALA, FL 34471

Marion County (352) 620-2711

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.

Which organizations bill Medicare for Edgardo Cruz-martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Cruz-martinez reassigns Medicare benefits to 2 organizations: Ocala Health Surgical Group LLC (Ocala, FL) and North Florida Surgical Associates LLC (Gainesville, FL). 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 Edgardo Cruz-martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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, Hca Florida North Florida Hospital and Hca Florida Putnam 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.