LORINDA A CRUZ MD
NPI 1295095289
Internal Medicine - Geriatric Medicine in Athens, GA

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1500 OGLETHORPE AVE STE 400A, ATHENS, GA 30606(706) 548-8600(706) 548-1655 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, Aug 12, 2024, Sep 10, 2018 and 1 more (4 updates tracked since 2016).

About Lorinda A Cruz Md NPPES

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

LORINDA A CRUZ MD (NPI 1295095289) is an individual geriatric medicine provider in Athens, Georgia, licensed in Georgia (75774) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295095289
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameLORINDA A CRUZCredential: MD
Location Address1500 OGLETHORPE AVE STE 400AAthens, GA 30606-2182
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Fax(706) 548-1655
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 23, 2012
Last NPPES UpdateMarch 4, 20264 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1295095289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in GA · 75774
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME134139 (FL)
1500 OGLETHORPE AVE STE 400A, Athens, GA 30606

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Lorinda 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 ID3476846049
PECOS Enrollment IDI20160720001926
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 10

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.
378 services222 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
316 services209 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
163 services163 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
154 services154 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
152 services152 patients
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.
59 services53 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers41 claims41 services$14.83 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
3 suppliers43 claims43 services$76.41 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 9

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

Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Physician Assistant (Medical)
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 400A
ATHENS, GA 30606

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 Lorinda Cruz's NPI number?

The NPI number for Lorinda Cruz is 1295095289. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Lorinda Cruz located?

Lorinda Cruz practices at 1500 Oglethorpe Ave Ste 400A, Athens, GA 30606. The listed phone number is (706) 548-8600.

What is Lorinda Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Lorinda Cruz enrolled in Medicare?

Yes. Lorinda 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.

What insurance does Lorinda Cruz accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lorinda 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 Lorinda Cruz affiliated with any hospitals?

According to CMS data, Lorinda Cruz is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lorinda Cruz was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.