OSCAR A CRUZ MD
NPI 1801816236
Ophthalmology in Saint Louis, MO

Q: What is Oscar Cruz's NPI number?

The NPI number for Oscar Cruz is 1801816236. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Oscar Cruz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Oscar Cruz was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

1755 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 256-3232(314) 771-0596 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Oscar A Cruz Md NPPES

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

OSCAR A CRUZ MD (NPI 1801816236) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (100766) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1987).

NPPES Registry Identity

NPI1801816236

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameOSCAR A CRUZCredential: MD

Location Address1755 S GRAND BLVDSaint Louis, MO 63104-1540

Mailing Address3691 Rutger St, Provider EnrollmentSaint Louis, MO 63110-2515 · (314) 977-4440

Phone(314) 256-3232

Fax(314) 771-0596

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1987

Enumeration DateJuly 20, 2006

Last NPPES UpdateMarch 18, 2008

✔ NPI 1801816236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MO · 100766

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1755 S GRAND BLVD, Saint Louis, MO 63104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower 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

Oscar A Cruz 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 ID8426193376

PECOS Enrollment IDI20100303000997

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

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.

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

25 services19 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

81.57/100

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

Scored as part of a group practice

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

Other Providers at the Same Location NPPES 8

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

DR. GILLIAN MEADE HEINECKE M.D.

Dermatology

1755 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 256-3430

MR. CHANG YE WANG M.D.

Student in an Organized Health Care Education/Training Program

1755 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 256-3400

MOHAMED ABOU SHOUSHA MD

Ophthalmology

1755 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (305) 243-2020

JORDAN BENJAMIN LEYNES PA, M.M.S

Physician Assistant

1755 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (636) 352-5416

MS. EGLE MIKONE M.D

Student in an Organized Health Care Education/Training Program

1755 S GRAND BLVD
ST LOUIS, MO 63104

St. Louis City (314) 617-2777

DR. MEGAN ALEXIS WALTERS M.D.

Orthopaedic Surgery (Foot and Ankle Surgery)

1755 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 256-3850

MAHMOOD QALBANI MD

Anesthesiology

1755 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 256-3850

CLAUDIA SOPHIA MORR VERENZUELA M.D

Dermatology

1755 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 256-3407

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 Oscar Cruz's NPI number?

The NPI number for Oscar Cruz is 1801816236. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Oscar Cruz located?

Oscar Cruz practices at 1755 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 256-3232.

What is Oscar Cruz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Oscar Cruz enrolled in Medicare?

Yes. Oscar 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 Oscar Cruz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Oscar 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 Oscar Cruz affiliated with any hospitals?

According to CMS data, Oscar Cruz is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Oscar Cruz was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.