1. Home
  2. Directory
  3. Wisconsin
  4. Berlin
  5. Emergency Medicine
  6. NPI Profile

DR. MARIA GRACE CRUZ-APOLINARIO MD
NPI 1215926795
Emergency Medicine in Berlin, WI

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
225 MEMORIAL DR, BERLIN, WI 54923(920) 361-5525(920) 361-5925 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Jul 23, 2021, Jul 12, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Maria Grace Cruz-apolinario Md NPPES

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

DR. MARIA GRACE CRUZ-APOLINARIO MD (NPI 1215926795) is an individual emergency medicine provider in Berlin, Wisconsin, licensed in Wisconsin (37703) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215926795
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARIA GRACE CRUZ-APOLINARIOCredential: MD
Location Address225 MEMORIAL DRBerlin, WI 54923-1243
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4229 · Fax (920) 361-5499
Phone(920) 361-5525
Fax(920) 361-5925
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 18, 2005
Last NPPES UpdateNovember 16, 20224 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1215926795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 37703
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 37703 (WI)
225 MEMORIAL DR, Berlin, WI 54923
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1216 Sunset PlNeillsville, WI 54456-1706 · Phone (715) 743-3101 · Fax (715) 743-6245
Location 2205 Parker StBoscobel, WI 53805-1642 · Phone (608) 375-4112

Other Identifiers 1

Medicaid32254600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, Medica 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. Maria Grace Cruz-apolinario 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 ID3173716057
PECOS Enrollment IDI20101023000278
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services39 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
47 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Neillsville

Critical Access Hospitals · Neillsville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521323
LocationN3708 River AveNeillsville, WI 54456 · Clark County
Emergency services

Crossing Rivers Health Medical Center

Critical Access Hospitals · Prairie Du Chien, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521330
Location37868 Us Hwy 18Prairie Du Chien, WI 53821 · Crawford County
Emergency services

Gundersen Boscobel Area Hospital And Clinics

Critical Access Hospitals · Boscobel, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521344
Location205 Parker StBoscobel, WI 53805 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54923 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.

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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%84 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
64%263 patients3/55-star benchmark: 92%
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…
61%383 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%326 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%106 patients1/55-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.
100%2,133 patients5/55-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.
98%6,839 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
40%390 patients2/55-star benchmark: 88%
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.
98%331 patients4/55-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.
82%860 patients4/55-star benchmark: 97%
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…
100%860 patients5/55-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…
17%860 patients1/55-star benchmark: 89%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
95%20 patients
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
20%860 patients
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$18.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims32 services$99.67 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
1 supplier12 claims12 services$200.12 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.

DR. COURTNEY DISTERHAFT DPT
Physical Therapist
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-1313
BARRY L ROGERS MD
Surgery
225 MEMORIAL DR, STE 2000
BERLIN, WI 54923
Green Lake County (920) 361-5340
CENTRAL WISCONSIN ANESTHESI
Anesthesiology
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5538
JESSICA JO TOMASIEWICZ
Nurse Anesthetist, Certified Registered
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5538
DR. JAMES S HEINZEN M.D.
Emergency Medicine
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5525
EMILY ANNE RADEMACHER COTA
Occupational Therapy Assistant
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-1313
DANIEL KENNETH LEMBERGER APNP
Nurse Practitioner (Adult Health)
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-1313
TONY D SINGH CRNA
Nurse Anesthetist, Certified Registered
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5538

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 Maria Cruz-apolinario's NPI number?

The NPI number for Maria Cruz-apolinario is 1215926795. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Maria Cruz-apolinario located?

Maria Cruz-apolinario practices at 225 Memorial Dr, Berlin, WI 54923. The listed phone number is (920) 361-5525.

What is Maria Cruz-apolinario's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Maria Cruz-apolinario enrolled in Medicare?

Yes. Maria Cruz-apolinario 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 Maria Cruz-apolinario accept?

Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, Medica and Sanford Health Plan list Maria Cruz-apolinario 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 Maria Cruz-apolinario affiliated with any hospitals?

According to CMS data, Maria Cruz-apolinario is affiliated with Marshfield Medical Center, Marshfield Medical Center - Neillsville, Crossing Rivers Health Medical Center and Gundersen Boscobel Area Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Maria Cruz-apolinario was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.