DR. MICHAEL J. CROSS M.D.
NPI 1861472565
Surgery - Surgical Oncology in Springdale, AR

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
87.7/100
CMS Quality Rating
3901 PARKWAY CIR, SPRINGDALE, AR 72762(479) 587-2100(479) 582-5724 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2022, Jan 18, 2022, Mar 11, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Michael J. Cross M.d. NPPES

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

DR. MICHAEL J. CROSS M.D. (NPI 1861472565) is an individual surgical oncology provider in Springdale, Arkansas, licensed in Arkansas (C8485) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1993).

NPPES Registry Identity

NPI1861472565
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. MICHAEL J. CROSSCredential: M.D.
Location Address3901 PARKWAY CIRSpringdale, AR 72762-6362
Mailing Address3901 Parkway CirSpringdale, AR 72762-6362 · (479) 582-1000 · Fax (479) 582-5724
Fax(479) 582-5724
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1993
Enumeration DateJanuary 19, 2006
Last NPPES UpdateApril 5, 20224 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1861472565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in AR · C8485
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSpecialistTaxonomy 174400000X · License C-8485 (AR)
3901 PARKWAY CIR, Springdale, AR 72762

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. Michael J. Cross 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 ID3375599384
PECOS Enrollment IDI20080311000785
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 10

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.

Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
123 services84 patients
Measurement of lymphedema extracellular fluid 93702
The measurement of lymphedema extracellular fluid is a non-invasive procedure used to assess fluid buildup in tissues, often due to lymphatic system issues. It helps to monitor and manage conditions like lymphedema effectively.
109 services73 patients
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.
96 services82 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
61 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
55 services55 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72762 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
$157.74 typical visit price
range $51.36 – $157.74
Typical copayment $39.43 (range $12.84 – $39.43)
Most-billed visit code 99205
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

87.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.71
Promoting Interoperability93
Improvement Activities40
Cost66.1

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,700 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
48%104 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
93%46 patients4/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%83 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%344 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%840 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%344 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%344 patients1/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers16 claims37 services$30.35 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.

Physical Therapist
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Surgery (Surgical Oncology)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Nurse Practitioner (Acute Care)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Nurse Practitioner (Acute Care)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Internal Medicine
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Surgery (Plastic and Reconstructive Surgery)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Physical Therapist
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Physical Therapist
3901 PARKWAY CIR
SPRINGDALE, AR 72762

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 Michael Cross's NPI number?

The NPI number for Michael Cross is 1861472565. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Michael Cross located?

Michael Cross practices at 3901 Parkway Cir, Springdale, AR 72762. The listed phone number is (479) 587-2100.

What is Michael Cross's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Michael Cross enrolled in Medicare?

Yes. Michael Cross 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 Michael Cross accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Michael Cross 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.

When was this NPI record last updated?

The NPPES record for Michael Cross was last updated on April 5, 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.