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DR. FRANCISCO A CRUZ
NPI 1386629681
Internal Medicine in Miami, FL

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
13500 N KENDALL DR, SUITE 271, MIAMI, FL 33186(305) 380-0940(305) 380-0992 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Francisco A Cruz NPPES

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

DR. FRANCISCO A CRUZ (NPI 1386629681) is an individual internal medicine provider in Miami, Florida, licensed in Florida (86988) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1386629681
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRANCISCO A CRUZ
Location Address13500 N KENDALL DR, SUITE 271Miami, FL 33186-1515
Mailing AddressPo Box 836627Miami, FL 33283-6627 · (305) 380-0940 · Fax (305) 380-0992
Phone(305) 380-0940
Fax(305) 380-0992
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 8, 2005
Last NPPES UpdateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1386629681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 86988
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.
13500 N KENDALL DR, Miami, FL 33186
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Secondary Practice Location 1

Location 113500 N Kendall Dr Ste 271Miami, FL 33186-1582 · Phone (305) 380-0940 · Fax (305) 380-0992

Other Identifiers 1

Medicaid268065300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Francisco A Cruz 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 ID7214833904
PECOS Enrollment IDI20031211001113
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 7

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.
181 services62 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.
39 services39 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
27 services16 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.
22 services16 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.
20 services20 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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…
100%48 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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims71 services$7.04 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier15 claims15 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims35 services$1.24 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims450 services$2.71 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims7,155 services$0.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$13.03 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 4

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

ADVANCE CARE HOSPITALIST GROUP INC
Internal Medicine
13500 N KENDALL DR, 271
MIAMI, FL 33186
Miami-Dade County (305) 380-0940
KIDNEY TREATMENT AND HYPERTENSION ASSOCIATES PA
Internal Medicine (Nephrology)
13500 N KENDALL DR, SUITE 131
MIAMI, FL 33186
Miami-Dade County (305) 388-5222
DIALYSIS OPTIONS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
13500 N KENDALL DR, SUITE 131
MIAMI, FL 33186
Miami-Dade County (305) 388-5222
DR. JIMENA AMPARO BLANDON M.D.
Internal Medicine
13500 N KENDALL DR, SUITE 131
MIAMI, FL 33186
Miami-Dade County (305) 388-5222

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 Francisco Cruz's NPI number?

The NPI number for Francisco Cruz is 1386629681. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Francisco Cruz located?

Francisco Cruz practices at 13500 N Kendall Dr Suite 271, Miami, FL 33186. The listed phone number is (305) 380-0940.

What is Francisco Cruz's specialty?

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

Is Francisco Cruz enrolled in Medicare?

Yes. Francisco 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 Francisco Cruz accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 2 other insurers list Francisco 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.

When was this NPI record last updated?

The NPPES record for Francisco Cruz was last updated on June 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.