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KRISTINE CRUZ M.D.
NPI 1730404476
Family Medicine in Tohatchi, NM

Active since April 06, 2010PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
PO BOX 142, TOHATCHI, NM 87325(505) 733-8100(505) 733-2388 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Cruz M.d. NPPES

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

KRISTINE CRUZ M.D. (NPI 1730404476) is an individual family medicine provider in Tohatchi, New Mexico, licensed in New Mexico (MD2020-0899) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and maintains a secondary practice location in Gallup.

NPPES Registry Identity

NPI1730404476
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINE CRUZCredential: M.D.
Location AddressPO BOX 142Tohatchi, NM 87325-0142
Mailing AddressPo Box 142Tohatchi, NM 87325-0142 · (505) 733-8100 · Fax (505) 733-2388
Phone(505) 733-8100
Fax(505) 733-2388
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2010
Enumeration DateApril 6, 2010
Last NPPES UpdateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
✔ NPI 1730404476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NM · MD2020-0899✔ Licensed in VT · 42.0012719
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PO BOX 142, Tohatchi, NM 87325
Open in Google Maps ↗

Secondary Practice Location 1

Location 1516 E Nizhoni BlvdGallup, NM 87301-5748 · Phone (505) 722-1000

Other Identifiers 1

Medicaid73330582NM

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

Kristine 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 ID3577798446
PECOS Enrollment IDI20131030001699
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 3

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.
66 services40 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.
44 services32 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87325 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

Other Providers at the Same Location NPPES

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

DR. JWAN M MUSTAFA PHARMD
Pharmacist
PO BOX 142
TOHATCHI, NM 87325
McKinley County (505) 733-8415

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 Kristine Cruz's NPI number?

The NPI number for Kristine Cruz is 1730404476. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Kristine Cruz located?

Kristine Cruz practices at PO Box 142, Tohatchi, NM 87325. The listed phone number is (505) 733-8100.

What is Kristine Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristine Cruz enrolled in Medicare?

Yes. Kristine 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.

Is Kristine Cruz affiliated with any hospitals?

According to CMS data, Kristine Cruz is affiliated with Gallup Indian Medical Center and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Kristine Cruz was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.