Active NPI 1053484113 Individual Practitioner Male Practitioner

Dr. Michael Cross , MD

Surgery • Murrieta, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cross, MD is a certified Surgery practicing in Murrieta, CA. With approximately 41 years of clinical experience since graduating from University Of California, Geffen School Of Medicine in 1985, Dr. Cross delivers high-quality medical care to the local community at 25470 MEDICAL CENTER DR.

Dr. Cross is affiliated with Idaho Falls Surgical Specialists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25470 Medical Center Dr
Suite 203

Murrieta, CA 925624900

Telephone 9519737290

Fax 9519737299

Associated Practice Facility / Clinic

🏢 Oscar A. Matthews Md Inc Facility NPI 1851380414

Medicare Profile & Education

Medical School

University Of California, Geffen School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Murrieta, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Murrieta, CA (3346 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cross (41 Years) 41 Yrs

Murrieta Specialty Average (29.8 Years) 29.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	15	$118.00	$45.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$394.00	$152.93
45380 Biopsy of large bowel using an endoscope	22	22	$1232.00	$89.82
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$214.00	$83.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$319.00	$119.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1375.00	$227.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$310.58	$117.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$394.00	$150.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	13	$95.85	$45.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$319.00	$120.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$303.00	$117.75
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1973.75	$639.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$358.75	$153.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$1095.85	$206.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$421.45	$108.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$440.00	$112.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$1220.00	$211.25
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$259.00	$78.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$440.00	$75.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$440.00	$108.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$1220.00	$200.06
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$274.51	$74.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	17	$440.00	$71.96
47562 Removal of gallbladder using an endoscope	17	17	$3690.00	$588.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$440.00	$105.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$1220.00	$195.25
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$259.00	$71.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$440.00	$70.11
47562 Removal of gallbladder using an endoscope	14	14	$4092.00	$632.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$440.00	$103.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	27	$440.00	$68.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	52	$1220.00	$192.88
99213 Established patient office or other outpatient visit, typically 15 minutes	32	24	$259.00	$70.69
47562 Removal of gallbladder using an endoscope	14	14	$2627.57	$398.38

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G604870

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

DY740A

Hospital & Practice Group Affiliations

Idaho Falls Surgical Specialists Pllc

2805 Valencia Dr, Idaho Falls, ID 834047597

Phone: 2085259400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Frank Valencia , MD

Anesthesiology

NPI 1093723678

Doctor of Medicine (M.D.)

Dr. Festus Dada , MD

Surgery

NPI 1184632606

Doctor of Medicine (M.D.)

Natasha Chong , MPH, RD

Dietitian, Registered

NPI 1699069781

Master of Public Health, Registered Dietitian

Dr. Sarvenaz Nouri , MD

Surgery

NPI 1740629211

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2015

Registered at 25470 MEDICAL CENTER DR, SUITE 203, MURRIETA, CA 925624900 (Tel: 9519737290)

📍

Updated Business Mailing Address February 05, 2015

Registered at 25470 MEDICAL CENTER DR, SUITE 203, MURRIETA, CA 925624900 (Tel: 9519737290)

👤

Provider Name / Credentials Updated February 05, 2015

Recorded as MICHAEL CROSS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Surgery (License #G604870 in CA)

🟢

Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053484113

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2006

Last Update: February 05, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25470 Medical Center Dr, Suite 203

Murrieta, CA 925624900

Phone: 9519737290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.