Mark Cruz, MD
NPI 1033223227 · Emergency Medicine Physician · Austell, GA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Cruz, MD is a Emergency Medicine Physician provider in Austell, GA (NPI 1033223227).
Provider details
- NPI number
- 1033223227
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 047969 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
666 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 412 | $175 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 132 | $120 |
| Critical Care, First 30-74 Minutes99291 | 108 | $214 |
| Simple Repair of Surface Wound of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12002 | 14 | $60 |
Typical Medicare-allowed amounts for these services range $60–$214 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 46 | 46 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 27 | 21 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 26 | 26 |
| Tramadol Hcl | 22 | 22 |
| Prednisone | 15 | 15 |
| Methocarbamol | 13 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2008-11-03
Frequently asked questions
- What is Mark Cruz's NPI number?
- Mark Cruz's National Provider Identifier (NPI) is 1033223227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Cruz's specialty?
- Mark Cruz is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Cruz located?
- Mark Cruz's practice location on file with NPPES is 3950 Austell Rd, Austell, GA 30106-1121.
- What is Mark Cruz's phone number?
- The practice phone number listed in the NPPES registry for Mark Cruz is (770) 732-4000.
- Does Mark Cruz accept Medicare?
- Mark Cruz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Cruz's NPI active?
- Yes — Mark Cruz's NPI (1033223227) is active in the NPPES registry as of the last update on 2008-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.