ALEX CRUZ MD
NPI 1407242308
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Austin, TX

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
92.91/100
CMS Quality Rating
4700 SETON CENTER PKWY STE 200, AUSTIN, TX 78759(512) 439-1000(512) 439-1019 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2022, Aug 24, 2021, Mar 19, 2021 and 3 more (6 updates tracked since 2020).

About Alex Cruz Md NPPES

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

ALEX CRUZ MD (NPI 1407242308) is an individual orthopaedic surgery of the spine provider in Austin, Texas, licensed in Texas (T2848) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407242308
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameALEX CRUZCredential: MD
Location Address4700 SETON CENTER PKWY STE 200Austin, TX 78759-4107
Mailing Address4700 Seton Center Pkwy Ste 200Austin, TX 78759-4107 · (512) 439-1000 · Fax (512) 439-1019
Fax(512) 439-1019
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateAugust 2, 20236 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
NPI 1407242308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · T2848
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

4700 SETON CENTER PKWY STE 200, Austin, TX 78759

Secondary Practice Locations 2

Location 1911 W 38th St Ste 300Austin, TX 78705-1161 · Phone (512) 439-1000
Location 24700 Campus Village Drive, Ste 100Round Rock, TX 78665 · Phone (512) 439-1000 · Fax (512) 431-1998

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

Alex 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 ID2567886559
PECOS Enrollment IDI20210824000653
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 18

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.
324 services211 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
106 services106 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.
99 services89 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.
83 services83 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
68 services29 patients
X-ray of upper spine, 6 or more views 72052
An X-ray of the upper spine with 6 or more views involves capturing multiple images of your neck and upper back. This non-invasive procedure helps doctors visualize the bones and joints, aiding in diagnosing conditions such as arthritis, fractures, or spinal deformities.
43 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Children's Medical Center

Childrens · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453310
Location4900 Mueller BlvdAustin, TX 78723 · Travis County
Emergency services

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

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.

92.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.12
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
99%745 patients4/55-star benchmark: 100%
Breast Cancer Screening
76%424 patients4/55-star benchmark: 93%
Cervical Cancer Screening
63%443 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
42%588 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
56%948 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
83%3,063 patients4/55-star benchmark: 100%
e-Prescribing
99%798 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%696 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%991 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
77%364 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%54 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 728 patients
Patients totalRate: 18% · 728 patients
17%728 patients3/55-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 20

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

Orthopaedic Surgery (Foot and Ankle Surgery)
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Orthopaedic Surgery
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Physical Therapist
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Orthopaedic Surgery
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Nurse Practitioner (Family)
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Nurse Practitioner
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Orthopaedic Surgery
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
Orthopaedic Surgery (Orthopaedic Trauma)
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759

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 Alex Cruz's NPI number?

The NPI number for Alex Cruz is 1407242308. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Alex Cruz located?

Alex Cruz practices at 4700 Seton Center Pkwy Ste 200, Austin, TX 78759. The listed phone number is (512) 439-1000.

What is Alex Cruz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Alex Cruz enrolled in Medicare?

Yes. Alex 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 Alex Cruz accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Alex 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 Alex Cruz affiliated with any hospitals?

According to CMS data, Alex Cruz is affiliated with Ascension Seton Medical Center Austin, Dell Children's Medical Center and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Alex Cruz was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.