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DR. THOMAS ROBERT CRUSE O.D.
NPI 1588919443
Optometrist in Denver, CO

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
75.62/100
CMS Quality Rating
55 MADISON ST, SUITE 355, DENVER, CO 80206(303) 377-2020 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Robert Cruse O.d. NPPES

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

DR. THOMAS ROBERT CRUSE O.D. (NPI 1588919443) is an individual optometrist in Denver, Colorado, licensed in Colorado (2843) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2011).

NPPES Registry Identity

NPI1588919443
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THOMAS ROBERT CRUSECredential: O.D.
Location Address55 MADISON ST, SUITE 355Denver, CO 80206-5419
Mailing Address55 Madison St, Suite 355Denver, CO 80206-5419 · (303) 377-2020
Phone(303) 377-2020
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2011
Enumeration DateJuly 17, 2012
Last NPPES UpdateOctober 29, 2012
✔ NPI 1588919443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · 2843
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
55 MADISON ST, Denver, CO 80206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Thomas Robert Cruse O.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 ID446406219
PECOS Enrollment IDI20120809000726
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 11

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 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.
571 services468 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
331 services316 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
321 services310 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.
315 services283 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
169 services132 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.
157 services157 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80206 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

75.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost18.74

Other Providers at the Same Location NPPES 17

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

DR. CYNTHIA MARIE PARKINSON DDS
Dentist
55 MADISON ST, STE 320
DENVER, CO 80206
Denver County (303) 355-3080
KRISTINE FROEHLICH LCSW
Social Worker (Clinical)
55 MADISON ST
DENVER, CO 80206
Denver County (262) 853-4942
MADISON STREET ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
55 MADISON ST, 355
DENVER, CO 80206
Denver County (303) 377-2020
SUMIT SITOLE M.D.
Ophthalmology
55 MADISON ST, 355
DENVER, CO 80206
Denver County (303) 377-2020
DR. JASON WANG MD
Ophthalmology
55 MADISON ST, 355
DENVER, CO 80206
Denver County (303) 398-7320
DR. HOWARD AMIEL M.D., M.S.
Ophthalmology
55 MADISON ST, 355
DENVER, CO 80206
Denver County (303) 398-7309
MADISON STREET SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
55 MADISON ST, 200
DENVER, CO 80206
Denver County (303) 388-0599
MADISON STREET COMPANY NURSE PRACTITIONER LLC
Nurse Practitioner
55 MADISON ST, STE 355
DENVER, CO 80206
Denver County (303) 377-2020

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 Thomas Cruse's NPI number?

The NPI number for Thomas Cruse is 1588919443. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Thomas Cruse located?

Thomas Cruse practices at 55 Madison St Suite 355, Denver, CO 80206. The listed phone number is (303) 377-2020.

What is Thomas Cruse's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Cruse enrolled in Medicare?

Yes. Thomas Cruse 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 Thomas Cruse accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Thomas Cruse 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 Thomas Cruse was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.