DR. EDGAR V M CRUZ-GONZALEZ MD
NPI 1609952092
Surgery in Mcallen, TX

Q: What is Edgar Cruz-gonzalez's NPI number?

The NPI number for Edgar Cruz-gonzalez is 1609952092. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Edgar Cruz-gonzalez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment

86.22/100

CMS Quality Rating

1100 E DOVE AVE STE 300, MCALLEN, TX 78504(956) 362-8170(956) 362-8168 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Aug 27, 2018, Apr 17, 2018 (3 updates tracked since 2018).

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About Dr. Edgar V M Cruz-gonzalez Md NPPES

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

DR. EDGAR V M CRUZ-GONZALEZ MD (NPI 1609952092) is an individual surgery provider in Mcallen, Texas, licensed in Texas (K4033) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and maintains a secondary practice location in Weslaco.

NPPES Registry Identity

NPI1609952092

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. EDGAR V M CRUZ-GONZALEZCredential: MD

Location Address1100 E DOVE AVE STE 300Mcallen, TX 78504-4672

Mailing AddressPo Box 2975Mcallen, TX 78502-2975 · (956) 362-8170 · Fax (956) 362-8168

Phone(956) 362-8170

Fax(956) 362-8168

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateOctober 27, 2006

Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration

NPPES CertifiedMarch 24, 2023

✔ NPI 1609952092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · K4033

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1100 E DOVE AVE STE 300, Mcallen, TX 78504

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Secondary Practice Location 1

Location 1505 Angelita Dr Ste 14Weslaco, TX 78599-8694 · Phone (956) 362-3720 · Fax (956) 854-4557

Other Identifiers 6

Medicaid175076201TX

Other8AJ767TX · Bcbs

Medicaid100726207TX

Medicaid100726205TX

Medicaid100726206TX

OtherP00278614TX · Railroad

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 Louisiana Healthcare Connections 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. Edgar V M Cruz-gonzalez 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 ID345232724

PECOS Enrollment IDI20050406000484

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

48 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

46 services42 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.

13 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450654

Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County

Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

86.22/100

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

Scored as part of a group practice

Quality

72.03

Improvement Activities

Other Providers at the Same Location NPPES 18

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

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