MARIO MATOS-CRUZ M.D.
NPI 1588868616
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lima, OH

Q: What is Mario Matos-cruz's NPI number?

The NPI number for Mario Matos-cruz is 1588868616. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is Mario Matos-cruz's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Mario Matos-cruz was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

830 W HIGH ST STE 207, LIMA, OH 45801(419) 996-4011(419) 996-4012 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Dec 9, 2020, Feb 21, 2018 and 2 more (5 updates tracked since 2016).

On this page

About Mario Matos-cruz M.d. NPPES

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

MARIO MATOS-CRUZ M.D. (NPI 1588868616) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lima, Ohio, licensed in Ohio (35065706) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of University Of Puerto Rico School Of Medicine (1982).

NPPES Registry Identity

NPI1588868616

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMARIO MATOS-CRUZCredential: M.D.

Location Address830 W HIGH ST STE 207Lima, OH 45801-3975

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-6402 · Fax (606) 218-7502

Phone(419) 996-4011

Fax(419) 996-4012

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1982

Enumeration DateJune 13, 2007

Last NPPES UpdateNovember 5, 20245 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1588868616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in OH · 35065706✔ Licensed in DE · C1-0027419

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

830 W HIGH ST STE 207, Lima, OH 45801

Open in Google Maps ↗

Secondary Practice Location 1

Location 14755 OGLETOWN STANTON ROAD, SUITE 1E20NEWARK, DE 19718-2200 · Phone (302) 733-5700 · Fax (302) 733-5775

Other Identifiers 2

Medicaid20010800AIN

Medicaid0065177OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan 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

Mario Matos-cruz 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 ID9931011293

PECOS Enrollment IDI20120706000409, I20251020002795

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

KATHERINE IRENE WARNER DO

Surgery (Vascular Surgery)