DR. MICHAEL TODD CROSS M.D.
NPI 1316033095
Allergy & Immunology in Asheville, NC

Q: What is the provider's specialty?

The provider's specialty is Allergy & Immunology with taxonomy code 207K00000X.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

76.76/100

CMS Quality Rating

14 MCDOWELL ST, ASHEVILLE, NC 28801(828) 255-3749(828) 254-9925 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2023, May 20, 2022, Nov 12, 2015 (3 updates tracked since 2015).

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About Dr. Michael Todd Cross M.d. NPPES

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

DR. MICHAEL TODD CROSS M.D. (NPI 1316033095) is an individual allergy & immunology provider in Asheville, North Carolina, licensed in North Carolina (9900806) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1997).

NPPES Registry Identity

NPI1316033095

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameDR. MICHAEL TODD CROSSCredential: M.D.

Location Address14 MCDOWELL STAsheville, NC 28801-4104

Mailing AddressPo Box 603725Charlotte, NC 28260-3725 · (828) 575-2625 · Fax (828) 350-2174

Phone(828) 255-3749

Fax(828) 254-9925

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1997

Enumeration DateOctober 4, 2006

Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1316033095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Licenses✔ Licensed in NC · 9900806✔ Licensed in NC · 99-00806

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

14 MCDOWELL ST, Asheville, NC 28801

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Other Identifiers 2

Medicaid1316033095NC

OtherNC7909ANC · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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. Michael Todd Cross M.d. 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 ID9931281888

PECOS Enrollment IDI20120830000805

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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

3,911 services71 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

2,275 services92 patients

Injection, omalizumab, 5 mg J2357

Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.

1,800 services13 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

1,691 services429 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

1,140 services57 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

463 services158 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.

185 services169 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

131 services34 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

65 services63 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.

52 services43 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.

51 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341319

Location90 Hospital Drive Po Box 1116Brevard, NC 28712 · Transylvania County

Emergency services

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.

76.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

64.25

Improvement Activities

Cost

88.06

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

100%61 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

58%72 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,541 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

28%1,440 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 288 patients

97%288 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 489 patients

Patients totalRate: 0% · 489 patients

0%489 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

4 suppliers44 claims148 services$17.59 avg. paid by Medicare

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg J1459

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims1,300 services$36.09 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

4 suppliers43 claims12,560 services$9.51 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

5 suppliers49 claims189 services$2.38 avg. paid by Medicare

Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052

Treatment-Chemotherapy · category RH012N

1 supplier13 claims13 services$309.69 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.

MARCIA KATHLEEN BALLARD FNP

Nurse Practitioner (Family)