Active NPI 1164552022 Individual Practitioner Male Practitioner

Dr. Michael W Cruz , MD

Surgery • Tamuning, GU

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cruz, MD is a certified Surgery practicing in Tamuning, GU. With approximately 42 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1984, Dr. Cruz delivers high-quality medical care to the local community at 171 FARENHOLT AVE.

Dr. Cruz maintains professional affiliations with Guam Healthcare Development Incorporated, Guam X-Ray and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

171 Farenholt Ave

Tamuning, GU 969133207

Telephone 6716460443

Fax 6716460440

Associated Practice Facility / Clinic

🏢 Guam Anesthesia Services Facility NPI 1164803169

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tamuning, GU

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +7.9 yrs vs City Avg

City Avg: 34.1 Yrs

State Avg: 34.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Tamuning, GU (12 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cruz (42 Years) 42 Yrs

Tamuning Specialty Average (34.1 Years) 34.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	65	57	$96.97	$91.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$119.23	$112.50
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	47	30	$15.22	$14.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$190.08	$164.17
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$384.55	$305.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$137.31	$125.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	62	$141.55	$122.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$191.82	$160.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	47	27	$15.54	$15.08
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$100.19	$87.04
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$401.13	$310.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	68	$116.11	$96.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$162.29	$117.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	55	38	$19.93	$16.43
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$435.06	$387.80
45380 Biopsy of large bowel using an endoscope	13	13	$771.35	$503.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$622.51	$365.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	48	$137.67	$139.08
99213 Established patient office or other outpatient visit, typically 15 minutes	49	34	$99.72	$96.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$79.20	$75.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	40	$26.27	$24.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	32	$115.72	$111.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$116.21	$107.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$175.07	$174.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$79.13	$76.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	35	$25.59	$23.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$116.07	$114.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$116.94	$110.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$78.14	$69.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$115.73	$106.35
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	28	$25.08	$22.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$115.91	$101.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$78.67	$74.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$115.38	$108.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$115.68	$109.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$22.43	$21.18

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GU M-992

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 Pin

56663

Hospital & Practice Group Affiliations

Guam X-Ray

633 Gov Carlos Camacho Rd, Tamuning, GU 96913

Phone: 6716491001

Guam Healthcare Development Incorporated

133 Route 3, Dededo, GU 969296911

Phone: 6716455500

Secondary Practice Locations

133 Route 3

Dededo, GU 969296911

Phone: 6716455500

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ricardo Eusebio , MD

Surgery

NPI 1679795603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 19, 2018

Registered at 171 FARENHOLT AVE, TAMUNING, GU 969133207 (Tel: 6716460443)

📍

Updated Business Mailing Address December 19, 2018

Registered at 171 FARENHOLT AVE, TAMUNING, GU 969133207 (Tel: 6716460443)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Surgery (License #M-992 in GU)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 850 GOVERNOR CARLOS CAMACHO ROAD, OKA TAMUNING, GU 969133128 (Tel: 6716472418)

📍

Updated Business Mailing Address July 08, 2007

Registered at 850 GOVERNOR CARLOS CAMACHO ROAD, OKA TAMUNING, GU 969133128 (Tel: 6716472418)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CRUZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #M000992 in GU)

🟢

Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164552022

Entity Type:

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

Enumeration Date: March 07, 2007

Last Update: December 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

171 Farenholt Ave

Tamuning, GU 969133207

Phone: 6716460443

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.