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DR. EMILIANA RAYMUNDO CRUZ-HILLIS M.D.
NPI 1962480145
Family Medicine in Sarasota, FL

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
5880 RAND BLVD, 200, SARASOTA, FL 34238(941) 923-5882(941) 923-1453 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Emiliana Raymundo Cruz-hillis M.d. NPPES

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

DR. EMILIANA RAYMUNDO CRUZ-HILLIS M.D. (NPI 1962480145) is an individual family medicine provider in Sarasota, Florida, licensed in Florida (ME98119) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1962480145
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EMILIANA RAYMUNDO CRUZ-HILLISCredential: M.D.
Location Address5880 RAND BLVD, 200Sarasota, FL 34238-5118
Mailing AddressPo Box 836407Orlando, FL 32886-0001 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 923-5882
Fax(941) 923-1453
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 6, 2006
Last NPPES UpdateSeptember 18, 2017
✔ NPI 1962480145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME98119
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.
5880 RAND BLVD, Sarasota, FL 34238
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Other Names 1

Former Name (1)Miss Emiliana Raymundo Hillis

Other Identifiers 4

Medicare UPINH30115FL
Other93601FL · Bcbs
Medicaid277951000FL
Medicare PINAE821ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Emiliana Raymundo Cruz-hillis 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 ID4284727512
PECOS Enrollment IDI20070831000703
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.

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.
1,018 services423 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.
307 services194 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
131 services131 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
57 services53 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34238 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Referred Medical Equipment & Supplies CMS DME claims 7

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
11 suppliers28 claims57 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims24 services$0.94 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims360 services$320.05 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims360 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims360 services$25.08 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 suppliers16 claims16 services$65.66 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 9

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

ANTHONY JOHNSON
Health and Wellness Coach
5880 RAND BLVD
SARASOTA, FL 34238
Sarasota County (941) 917-7000
SMH PHYSICIAN SERVICES INC
Anesthesiology (Pain Medicine)
5880 RAND BLVD, SUITE 206
SARASOTA, FL 34238
Sarasota County (941) 917-5914
SMH PHYSICIAN SERVICES, INC
Surgery
5880 RAND BLVD, SUITE 211
SARASOTA, FL 34238
Sarasota County (941) 917-4753
DR. LAURENCE B LEVENBERG MD
Family Medicine
5880 RAND BLVD, SUITE 200
SARASOTA, FL 34238
Sarasota County (941) 923-5882
NICOLE MILLS PTA
Physical Therapy Assistant
5880 RAND BLVD
SARASOTA, FL 34238
Sarasota County (941) 917-7600
ALBERT JOSEPH NOVAK D.O.
Family Medicine
5880 RAND BLVD, SUITE 200
SARASOTA, FL 34238
Sarasota County (941) 917-2300
DR. MARK H BRUS MD
Internal Medicine
5880 RAND BLVD, SUITE 200
SARASOTA, FL 34238
Sarasota County (941) 923-5882
SMH PHYSICIAN SERVICES INC
Family Medicine
5880 RAND BLVD, SUITE 200
SARASOTA, FL 34238
Sarasota County (941) 923-5882

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 Emiliana Cruz-hillis's NPI number?

The NPI number for Emiliana Cruz-hillis is 1962480145. It was assigned to this individual provider in the NPPES registry on January 6, 2006. The provider is also known as Miss Emiliana Raymundo Hillis.

Where is Emiliana Cruz-hillis located?

Emiliana Cruz-hillis practices at 5880 Rand Blvd 200, Sarasota, FL 34238. The listed phone number is (941) 923-5882.

What is Emiliana Cruz-hillis's specialty?

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

Is Emiliana Cruz-hillis enrolled in Medicare?

Yes. Emiliana Cruz-hillis 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 Emiliana Cruz-hillis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Emiliana Cruz-hillis 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 Emiliana Cruz-hillis affiliated with any hospitals?

According to CMS data, Emiliana Cruz-hillis is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Emiliana Cruz-hillis was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.