DR. MAIRENI R CRUZ MD
NPI 1821228727
Internal Medicine in Athol, MA

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
2033 MAIN ST, ATHOL, MA 01331(978) 249-1295(978) 249-5669 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2022, Oct 30, 2018, Nov 2, 2017 (3 updates tracked since 2017).

About Dr. Maireni R Cruz Md NPPES

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

DR. MAIRENI R CRUZ MD (NPI 1821228727) is an individual internal medicine provider in Athol, Massachusetts, licensed in Massachusetts (276933) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Baystate Franklin Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821228727
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAIRENI R CRUZCredential: MD
Location Address2033 MAIN STAthol, MA 01331-3535
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5247
Fax(978) 249-5669
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 27, 2009
Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1821228727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MA · 276933 Licensed in NH · 14218
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 276933 (MA)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 66373 (WI)
2033 MAIN ST, Athol, MA 01331

Secondary Practice Locations 2

Location 1600 Highland AveMadison, WI 53792 · Phone (608) 262-5420
Location 281 Reservoir DrAthol, MA 01331-4901 · Phone (978) 248-5135 · Fax (978) 248-5130

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

Dr. Maireni R 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 ID3274679998
PECOS Enrollment IDI20181107002408
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.

Hospital Affiliations CMS Care Compare 4

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

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01331 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers23 claims52 services$4.94 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims1,950 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,914 services$1.67 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$7.31 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430
DME-Orthotic Devices · category DF010N
2 suppliers13 claims185 services$7.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$68.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
2033 MAIN ST
ATHOL, MA 01331
Dietitian, Registered
2033 MAIN ST
ATHOL, MA 01331
Speech-Language Pathologist
2033 MAIN ST, ATHOL MEMORIAL HOSPITAL
ATHOL, MA 01331
Emergency Medicine
2033 MAIN ST
ATHOL, MA 01331
Nurse Practitioner (Psychiatric/Mental Health)
2033 MAIN ST
ATHOL, MA 01331
Clinic/Center (Radiology, Mobile)
2033 MAIN ST
ATHOL, MA 01331
Registered Nurse
2033 MAIN ST
ATHOL, MA 01331
Counselor
2033 MAIN ST
ATHOL, MA 01331

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 Maireni Cruz's NPI number?

The NPI number for Maireni Cruz is 1821228727. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Maireni Cruz located?

Maireni Cruz practices at 2033 Main St, Athol, MA 01331. The listed phone number is (978) 249-1295.

What is Maireni Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maireni Cruz enrolled in Medicare?

Yes. Maireni 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 Maireni Cruz accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and WellSense Health Plan list Maireni 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 Maireni Cruz affiliated with any hospitals?

According to CMS data, Maireni Cruz is affiliated with Baystate Franklin Medical Center, Heywood Hospital, Umass Memorial Medical Center/University Campus and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Maireni Cruz was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.