Sue Cruz Gerena, MD
NPI 1528644903 · Family Medicine Physician · Georgetown, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sue Cruz Gerena, MD is a Family Medicine Physician provider in Georgetown, SC (NPI 1528644903).
Provider details
- NPI number
- 1528644903
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- LL85958 (SC)
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
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
303 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 175 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 66 | $107 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 42 | $112 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 20 | $163 |
Typical Medicare-allowed amounts for these services range $74–$163 (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 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lisinopril | 59 | 21 |
| Amlodipine Besylate | 58 | 22 |
| Atorvastatin Calcium | 57 | 22 |
| Gabapentin | 41 | 15 |
| Pantoprazole Sodium | 30 | 16 |
| Tamsulosin Hcl | 27 | 12 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$201 across 7 records (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
Additional practice locations (2)
- 555 E Cheves StFlorence, SC 29506-2617Phone: (843) 777-2800
- 4070 Highway 17Murrells Inlet, SC 29576-5033Phone: (843) 652-1000Fax: (843) 520-8403
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Sue Cruz Gerena's NPI number?
- Sue Cruz Gerena's National Provider Identifier (NPI) is 1528644903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sue Cruz Gerena's specialty?
- Sue Cruz Gerena is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sue Cruz Gerena located?
- Sue Cruz Gerena's practice location on file with NPPES is 606 Black River Rd, Georgetown, SC 29440-3304.
- What is Sue Cruz Gerena's phone number?
- The practice phone number listed in the NPPES registry for Sue Cruz Gerena is (843) 527-7000.
- Does Sue Cruz Gerena accept Medicare?
- Sue Cruz Gerena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sue Cruz Gerena's NPI active?
- Yes — Sue Cruz Gerena's NPI (1528644903) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.