Stephen Cruz, MD
NPI 1043204951 · Family Medicine Physician · Neenah, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Cruz, MD is a Family Medicine Physician provider in Neenah, WI (NPI 1043204951).
Provider details
- NPI number
- 1043204951
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41787 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
209 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 124 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 49 | $117 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Tracing93005 | 23 | $6 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 13 | $160 |
Typical Medicare-allowed amounts for these services range $6–$160 (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 |
|---|---|---|
| Cephalexin | 73 | 70 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 69 | 69 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 44 | 44 |
| Prednisone | 29 | 28 |
| Doxycycline Hyclate | 27 | 27 |
| Azithromycin | 22 | 22 |
| Triamcinolone Acetonide | 16 | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Frequently asked questions
- What is Stephen Cruz's NPI number?
- Stephen Cruz's National Provider Identifier (NPI) is 1043204951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Cruz's specialty?
- Stephen Cruz is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Cruz located?
- Stephen Cruz's practice location on file with NPPES is 101 Main St, Neenah, WI 54956-2570.
- What is Stephen Cruz's phone number?
- The practice phone number listed in the NPPES registry for Stephen Cruz is (920) 727-5810.
- Does Stephen Cruz accept Medicare?
- Stephen Cruz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Cruz's NPI active?
- Yes — Stephen Cruz's NPI (1043204951) is active in the NPPES registry as of the last update on 2020-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.