DR. RAMON LUIS RODRIGUEZ-CRUZ MD
NPI 1255377099
Psychiatry & Neurology - Neurology in Orlando, FL

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
92 N DEAN RD, ST 100, ORLANDO, FL 32825(407) 916-0304(888) 960-6364 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 21, 2023, Dec 10, 2015 (2 updates tracked since 2015).

About Dr. Ramon Luis Rodriguez-cruz Md NPPES

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

DR. RAMON LUIS RODRIGUEZ-CRUZ MD (NPI 1255377099) is an individual neurology provider in Orlando, Florida, licensed in Florida (ME91594) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Puerto Rico School Of Medicine (2000).

NPPES Registry Identity

NPI1255377099
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RAMON LUIS RODRIGUEZ-CRUZCredential: MD
Location Address92 N DEAN RD, ST 100Orlando, FL 32825-3769
Mailing Address13085 Upper Harden AveOrlando, FL 32827-7265 · (352) 283-4495 · Fax (888) 960-6364
Fax(888) 960-6364
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2000
Enumeration DateJune 21, 2006
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1255377099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME91594
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.
92 N DEAN RD, Orlando, FL 32825

Other Names 1

Other Name (5)Ramon Luis Rodriguez

Other Identifiers 1

Medicaid272274700FL

Accepted 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. Ramon Luis Rodriguez-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 ID9931138039
PECOS Enrollment IDI20050809000772
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

3

Medicare enrollment records show Ramon Rodriguez-cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
92 N DEAN RD STE 100
Orlando, FL 32825
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group

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 25

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
43,510 services87 patients
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.
1,137 services495 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
609 services76 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.
603 services330 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
234 services226 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
229 services221 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32825 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier14 claims51 services$18.29 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
5 suppliers35 claims1,036 services$21.94 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
4 suppliers24 claims24 services$182.15 avg. paid by Medicare
Dynamic adjustable elbow extension/flexion device, includes soft interface material E1800
DME-Other DME · category DE000N
1 supplier14 claims14 services$85.75 avg. paid by Medicare
Dynamic adjustable ankle extension/flexion device, includes soft interface material E1815
DME-Orthotic Devices · category DF000N
1 supplier19 claims31 services$86.12 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
5 suppliers37 claims1,092 services$167.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ramon Rodriguez-cruz's NPI number?

The NPI number for Ramon Rodriguez-cruz is 1255377099. It was assigned to this individual provider in the NPPES registry on June 21, 2006. The provider is also known as Ramon Luis Rodriguez.

Where is Ramon Rodriguez-cruz located?

Ramon Rodriguez-cruz practices at 92 N Dean Rd St 100, Orlando, FL 32825. The listed phone number is (407) 916-0304.

What is Ramon Rodriguez-cruz's specialty?

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

Is Ramon Rodriguez-cruz enrolled in Medicare?

Yes. Ramon Rodriguez-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 Ramon Rodriguez-cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramon Rodriguez-cruz reassigns Medicare benefits to 3 organizations: Advanced Neurotherapeutics LLC (Orlando, FL), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Ramon Rodriguez-cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramon Rodriguez-cruz accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ramon Rodriguez-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 Ramon Rodriguez-cruz affiliated with any hospitals?

According to CMS data, Ramon Rodriguez-cruz is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Ramon Rodriguez-cruz was last updated on March 21, 2023. 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.