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MR. EDGAR RODRIGUEZ DELACRUZ M.D.
NPI 1275593907
Specialist in Dover, OH

Active since March 25, 2006PECOS Enrolled
715 E SHAFER AVE, DOVER, OH 44622(330) 364-7764(330) 343-8162 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Edgar Rodriguez Delacruz M.d. NPPES

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

MR. EDGAR RODRIGUEZ DELACRUZ M.D. (NPI 1275593907) is an individual specialist in Dover, Ohio, licensed in Ohio (35043776) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275593907
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. EDGAR RODRIGUEZ DELACRUZCredential: M.D.
Location Address715 E SHAFER AVEDover, OH 44622-2053
Mailing Address715 E Shafer AveDover, OH 44622-2053 · (330) 364-7764 · Fax (330) 343-8162
Phone(330) 364-7764
Fax(330) 343-8162
Sole ProprietorYes
Enumeration DateMarch 25, 2006
Last NPPES UpdateNovember 16, 2011
✔ NPI 1275593907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35043776
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
715 E SHAFER AVE, Dover, OH 44622
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Other Identifiers 3

Medicare ID-Type Unspecified0526351OH
Medicare UPINA-80554OH
Medicaid0526112OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Mr. Edgar Rodriguez Delacruz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Edgar Delacruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgar R Delacruz MD Inc
Same address
Specialist
715 E SHAFER AVE
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
NPI 1477868305 (330) 364-7764

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

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

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.
99%1,656 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.
77%288 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
16%1,183 patients1/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
42%1,183 patients2/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
18%152 patients1/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
20%1,183 patients2/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
18%152 patients1/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
16%1,183 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.

Other Providers at the Same Location NPPES 3

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

EDGAR R DELACRUZ MD INC
Specialist
715 E SHAFER AVE
DOVER, OH 44622
Tuscarawas County (330) 364-7764
PERKOWSKI FAMILY MEDICINE, LLC
Family Medicine
715 E SHAFER AVE
DOVER, OH 44622
Tuscarawas County (330) 204-9498
CASEY THOMAS PERKOWSKI M.D.
Family Medicine
715 E SHAFER AVE
DOVER, OH 44622
Tuscarawas County (330) 556-0440

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 Edgar Delacruz's NPI number?

The NPI number for Edgar Delacruz is 1275593907. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Edgar Delacruz located?

Edgar Delacruz practices at 715 E Shafer Ave, Dover, OH 44622. The listed phone number is (330) 364-7764.

What is Edgar Delacruz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edgar Delacruz enrolled in Medicare?

Yes. Edgar Delacruz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgar Delacruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Delacruz reassigns Medicare benefits to Edgar R Delacruz MD Inc (Dover, OH). The 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 Edgar Delacruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Delacruz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Edgar Delacruz 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.

When was this NPI record last updated?

The NPPES record for Edgar Delacruz was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.