CARLOS P CRUZ M D
NPI 1700809480
Surgery - Vascular Surgery in Denton, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3322 COLORADO BLVD, SUITE 101, DENTON, TX 76210(940) 387-7588(940) 566-0881 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos P Cruz M D NPPES

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

CARLOS P CRUZ M D (NPI 1700809480) is an individual vascular surgery provider in Denton, Texas, licensed in Texas (L8024) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with North Texas Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1994).

NPPES Registry Identity

NPI1700809480
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameCARLOS P CRUZCredential: M D
Location Address3322 COLORADO BLVD, SUITE 101Denton, TX 76210-6888
Mailing Address3322 Colorado Blvd, Suite 101Denton, TX 76210-6888 · (940) 387-7588 · Fax (940) 566-0881
Fax(940) 566-0881
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 25, 2022
NPI 1700809480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in TX · L8024
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3322 COLORADO BLVD, Denton, TX 76210

Other Identifiers 2

Medicaid164196101TX
Other8K7640TX · Blue Cross Of Texas

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

Carlos P 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 ID9133114051
PECOS Enrollment IDI20040419001173
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 36

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.
332 services267 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
308 services248 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
300 services263 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
281 services230 patients
Ultrasound of hemodialysis access 93990
An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.
105 services80 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
75 services66 patients

Hospital Affiliations CMS Care Compare 4

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

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450090
Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX
5/5 CMS rating
OwnershipPhysician
CMS Certification Number450893
Location2801 South Mayhill RoadDenton, TX 76208 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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.

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

Reported Quality Measures

e-Prescribing
91%69 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%299 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.

Other Providers at the Same Location NPPES 3

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

Surgery
3322 COLORADO BLVD, SUITE 101
DENTON, TX 76210
Surgery (Vascular Surgery)
3322 COLORADO BLVD, SUITE 101
DENTON, TX 76210
3322 COLORADO BLVD, SUITE 101
DENTON, TX 76210

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 Carlos Cruz's NPI number?

The NPI number for Carlos Cruz is 1700809480. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Carlos Cruz located?

Carlos Cruz practices at 3322 Colorado Blvd Suite 101, Denton, TX 76210. The listed phone number is (940) 387-7588.

What is Carlos Cruz's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Carlos Cruz enrolled in Medicare?

Yes. Carlos 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 Carlos Cruz accept?

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

According to CMS data, Carlos Cruz is affiliated with North Texas Medical Center, Medical City Denton, Medical City Lewisville and The Heart Hospital Baylor Denton.

When was this NPI record last updated?

The NPPES record for Carlos Cruz was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.