Active NPI 1609952092 Individual Practitioner Male Practitioner

Dr. Edgar V M Cruz-Gonzalez , MD

Surgery • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Cruz-Gonzalez, MD is a certified Surgery practicing in Mcallen, TX. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Cruz-Gonzalez delivers high-quality medical care to the local community at 1100 E DOVE AVE STE 300.

Dr. Cruz-Gonzalez is affiliated with Renaissance Specialty Surgery and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 E Dove Ave Ste 300

Mcallen, TX 785044672

Telephone 9563628170

Fax 9563628168

Associated Practice Facility / Clinic

🏢 Renaissance Specialty Surgery Facility NPI 1174952907

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mcallen, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +10.8 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

28 Specialists

Practicing in Mcallen, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cruz-Gonzalez (39 Years) 39 Yrs

Mcallen Specialty Average (28.2 Years) 28.2 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	31	$228.00	$74.24
99291 Critical care, first 30-74 minutes	46	42	$786.00	$201.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$480.00	$125.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$498.00	$163.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	35	$183.00	$77.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	19	$248.52	$116.50
99291 Critical care, first 30-74 minutes	29	29	$1032.62	$208.52
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$180.00	$64.47
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$180.00	$88.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$537.20	$169.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$201.21	$109.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$202.75	$80.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	51	$178.00	$69.40
99291 Critical care, first 30-74 minutes	43	42	$1084.00	$212.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	20	$242.00	$99.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$440.00	$131.61
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$180.00	$88.83
99213 Established patient office or other outpatient visit, typically 15 minutes	17	12	$180.00	$65.49
99238 Hospital discharge day management, 30 minutes or less	17	17	$408.00	$69.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$540.00	$191.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$192.00	$109.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$192.00	$81.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	79	$178.00	$70.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$440.00	$133.21
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$160.00	$66.57
99238 Hospital discharge day management, 30 minutes or less	23	23	$408.00	$70.82
99291 Critical care, first 30-74 minutes	21	20	$1084.00	$215.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$192.00	$82.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$275.00	$134.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$248.29	$128.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$192.00	$110.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$237.00	$98.53
99283 Emergency department visit with low level of medical decision making	12	12	$529.00	$71.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$275.00	$165.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	68	$178.00	$72.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$440.00	$135.91
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$140.00	$72.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$192.00	$106.01
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$140.00	$51.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$192.00	$75.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$126.00	$39.24
99283 Emergency department visit with low level of medical decision making	17	17	$529.00	$65.08
99238 Hospital discharge day management, 30 minutes or less	17	17	$408.00	$72.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$275.00	$128.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$173.00	$105.18
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$327.00	$101.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	60	$140.00	$50.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$192.00	$75.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	28	$126.00	$38.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$275.00	$127.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	20	$178.00	$71.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$173.00	$77.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$440.00	$135.07
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$346.06	$99.87
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$140.00	$72.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$192.00	$105.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	58	$140.00	$49.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$275.00	$125.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$192.00	$74.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	36	$173.00	$76.59
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$4067.00	$673.52
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	11	11	$37.00	$17.92

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	82	79	$173.49	$102.36
99213 Established patient office or other outpatient visit, typically 15 minutes	62	51	$105.60	$69.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	40	$145.00	$101.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$241.46	$156.75
49505 Repair of groin hernia (5 years or older)	12	12	$2425.00	$505.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$200.00	$51.34

Medical Specialties & State Licenses

CMS Verified: 2023-03-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX K4033

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

Medicaid State Provider ID

175076201 (TX)

Medicaid State Provider ID

100726207 (TX)

Medicaid State Provider ID

100726205 (TX)

Medicaid State Provider ID

100726206 (TX)

Commercial Insurance / Payer ID Bcbs

8AJ767 (TX)

Commercial Insurance / Payer ID Railroad

P00278614 (TX)

Hospital & Practice Group Affiliations

Renaissance Specialty Surgery

1100 E Dove Ave, Mcallen, TX 785044682

Phone: 9563628170

Secondary Practice Locations

505 Angelita Dr Ste 14

Weslaco, TX 785998694

Phone: 9563623720

Practice Associates & Co-Workers

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

22 Associated Practitioners

Ambur Ledbetter , APRN-CNP

Nurse Practitioner - Family

NPI 1043738750

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Fernando Lambreton Hinojosa , MD

Colon & Rectal Surgery

NPI 1063906469

Doctor of Medicine (M.D.)

Salma Ruiz Sandoval

Physician Assistant

NPI 1073203873

Dr. Alejandro Garza , MD

Surgery - Vascular Surgery

NPI 1073990990

Doctor of Medicine (M.D.)

Dr. Gabriel Gonzalez , MD

Surgery - Vascular Surgery

NPI 1134516016

Doctor of Medicine (M.D.)

Dr. Roy Edwards , DO

Surgery - Surgical Critical Care

NPI 1255530309

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location March 24, 2023

Registered at 1100 E DOVE AVE STE 300, MCALLEN, TX 785044672 (Tel: 9563628170)

📍

Updated Practice Location August 27, 2018

Registered at 1100 E DOVE AVE STE 300, MCALLEN, TX 78504 (Tel: 9563628170)

📍

Updated Practice Location April 17, 2018

Registered at 2821 MICHAELANGELO DR STE 101, EDINBURG, TX 785391411 (Tel: 9563833360)

📍

Updated Business Mailing Address April 17, 2018

Registered at PO BOX 2975, MCALLEN, TX 785022975 (Tel: 9563833360)

✅

NPI Profile Active November 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2012

Registered at 1801 S 5TH ST STE 120, MCALLEN, TX 785032919 (Tel: 9566877151)

📍

Updated Business Mailing Address November 29, 2012

Registered at 1801 S 5TH ST, SUITE 120, MCALLEN, TX 785032927 (Tel: 9566877151)

👤

Provider Name / Credentials Updated November 29, 2012

Recorded as EDGAR CRUZ-GONZALEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2012

Surgery (License #K4033 in TX)

🟢

Initial NPI Registration & Enumeration October 27, 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: 1609952092

Entity Type:

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

Enumeration Date: October 27, 2006

Last Update: March 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2975

Mcallen, TX 785022975

Phone: 9563628170

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.