DR. GELSIMO A CRUZ MD
NPI 1265509277
Internal Medicine in Glen Burnie, MD

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
27.43/100
CMS Quality Rating
300 HOSPITAL DRIVE, SUITE 230, GLEN BURNIE, MD 21061(410) 279-3550(410) 768-2701 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gelsimo A Cruz Md NPPES

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

DR. GELSIMO A CRUZ MD (NPI 1265509277) is an individual internal medicine provider in Glen Burnie, Maryland, licensed in Maryland (D0018126) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1265509277
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GELSIMO A CRUZCredential: MD
Location Address300 HOSPITAL DRIVE, SUITE 230Glen Burnie, MD 21061-5707
Mailing Address300 Hospital Drive, Suite 230Glen Burnie, MD 21061-5707 · (410) 279-3550 · Fax (410) 768-2701
Fax(410) 768-2701
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 28, 2009
NPI 1265509277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0018126
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License D0018126 (MD)
300 HOSPITAL DRIVE, Glen Burnie, MD 21061

Other Identifiers 3

Medicare ID-Type Unspecified2572
Medicaid186161100MD
Medicare UPIND74590

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. Gelsimo A 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 ID5698825271
PECOS Enrollment IDI20090603000270
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services208 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
62 services62 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
32 services32 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
32 services32 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.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

27.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost91.46

Reported Quality Measures

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…
90%377 patients4/55-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 6

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

Internal Medicine (Gastroenterology)
300 HOSPITAL DRIVE, SUITE 230
GLEN BURNIE, MD 21061
Internal Medicine (Pulmonary Disease)
300 HOSPITAL DRIVE, CCW (2W)
GLEN BURNIE, MD 21061
Family Medicine
300 HOSPITAL DRIVE, SUITE 119
GLEN BURNIE, MD 21061
Family Medicine
300 HOSPITAL DRIVE, SUITE 234
GLEN BURNIE, MD 21061
Dentist (Oral and Maxillofacial Surgery)
300 HOSPITAL DRIVE, SUITE 237
GLEN BURNIE, MD 21061
Internal Medicine (Gastroenterology)
300 HOSPITAL DRIVE, SUITE 230
GLEN BURNIE, MD 21061

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 Gelsimo Cruz's NPI number?

The NPI number for Gelsimo Cruz is 1265509277. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Gelsimo Cruz located?

Gelsimo Cruz practices at 300 Hospital Drive Suite 230, Glen Burnie, MD 21061. The listed phone number is (410) 279-3550.

What is Gelsimo Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gelsimo Cruz enrolled in Medicare?

Yes. Gelsimo 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.

When was this NPI record last updated?

The NPPES record for Gelsimo Cruz was last updated on July 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.