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DR. FRANCISCO P CRUZ MD
NPI 1184605339
Internal Medicine - Endocrinology, Diabetes & Metabolism in Green Bay, WI

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
704 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-6050(920) 433-6049 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2023, Mar 14, 2023 (2 updates tracked since 2023).

About Dr. Francisco P Cruz Md NPPES

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

DR. FRANCISCO P CRUZ MD (NPI 1184605339) is an individual endocrinology, diabetes & metabolism provider in Green Bay, Wisconsin, licensed in Wisconsin (82753-20) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1184605339
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. FRANCISCO P CRUZCredential: MD
Location Address704 S WEBSTER AVEGreen Bay, WI 54301-3528
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 433-6050
Fax(920) 433-6049
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
✔ NPI 1184605339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WI · 82753-20✔ Licensed in VT · 042-0016825✔ Licensed in NJ · 25MA08687800
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
704 S WEBSTER AVE, Green Bay, WI 54301
Open in Google Maps ↗

Secondary Practice Locations 4

Location 162 Tilley DrSouth Burlington, VT 05403-4407 · Phone (802) 847-4576
Location 21163 Route 37 W, Suite A-1Toms River, NJ 08755-4973 · Phone (732) 736-1000 · Fax (732) 736-8811
Location 3610 S Lincoln RdEscanaba, MI 49829-1215 · Phone (906) 786-6488
Location 4440 Woodward AveIron Mountain, MI 49801-4631 · Phone (906) 776-9040 · Fax (906) 774-5950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource 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

Dr. Francisco P 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 ID8325048341
PECOS Enrollment IDI20231030002790
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

5

Medicare enrollment records show Francisco Cruz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Family Medicine
704 S WEBSTER AVE STE 201
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1104022128 (920) 433-3410
Oconto Hospital & Medical Center Inc
24 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640
Barnabas Health Medical Group PC
751 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Hackensack Meridian Health Medical Group - Specialty Care PC
766 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Oscar T. Ortiz, M.D.,p.C.
775 mi
Endocrinology, Diabetes & Metabolism
1163 ROUTE 37 W, SUITE A-1
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Oscar T Ortiz MD PC
  • 6 clinicians in this Medicare group
NPI 1336311125 (732) 736-1000

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 2

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.
103 services57 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521356
Location820 Arbutus AveOconto, WI 54153 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
51%811 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
24%6,092 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%13,525 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
72%369 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
77%2,245 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
49%2,206 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%2,245 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%2,245 patients2/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers42 claims160 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers25 claims38 services$1.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers33 claims33 services$188.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NEW DERMATOLOGY GROUP LTD
Dermatology
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 965-0345
GENERAL VASCULAR SURGERY OF GREEN BAY SC
Surgery (Vascular Surgery)
704 S WEBSTER AVE, SUITE 15
GREEN BAY, WI 54301
Brown County (920) 433-7463
SARAH ANN PIERRE PAC
Nurse Practitioner (Obstetrics & Gynecology)
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI 54301
Brown County (920) 468-3443
REBECCA P VAN MILLER D.D.S.
Dentist (General Practice)
704 S WEBSTER AVE, SUITE 402
GREEN BAY, WI 54301
Brown County (920) 435-6894
BELLIN MEMORIAL HOSPITAL INC
Internal Medicine (Infectious Disease)
704 S WEBSTER AVE, SUITE 501
GREEN BAY, WI 54301
Brown County (920) 445-7226
MICHELLE LYN MINIKEL MD
Family Medicine
704 S WEBSTER AVE, SUITE 200
GREEN BAY, WI 54301
Brown County (920) 433-3456
BART J MILLER PA
Physician Assistant
704 S WEBSTER AVE, STE 100
GREEN BAY, WI 54301
Brown County (920) 433-3456
MRS. LORI L HARTZ MS, RD
Dietitian, Registered
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3456

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 Francisco Cruz's NPI number?

The NPI number for Francisco Cruz is 1184605339. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Francisco Cruz located?

Francisco Cruz practices at 704 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-6050.

What is Francisco Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Francisco Cruz enrolled in Medicare?

Yes. Francisco 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.

Which organizations bill Medicare for Francisco Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francisco Cruz reassigns Medicare benefits to 5 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI), Barnabas Health Medical Group PC (Elizabeth, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Oscar T. Ortiz, M.D.,p.C. (Toms River, NJ). 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 Francisco Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Francisco Cruz accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and CareSource (Common Ground Healthcare) list Francisco 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.

Is Francisco Cruz affiliated with any hospitals?

According to CMS data, Francisco Cruz is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, Thedacare Medical Center - Shawano and Bellin Health Oconto Hospital.

When was this NPI record last updated?

The NPPES record for Francisco Cruz was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.