RAFAEL DE LA CRUZ (MD) – Infectious Disease Physician, NPI 1669460655
Infectious Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
475 INFECTIOUS DISEASE in IL
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Provider Addresses for RAFAEL DE LA CRUZ (MD)
4, Memorial Drive, Alton, Madison County, Illinois, 62002, United States
1ST FLOOR
ALTON, IL 620026751
Phone: (636) 344-2014
Fax: (314) 747-1476
Type: Location
Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
STE. 300
SAINT LOUIS, MO 631418573
Phone: (636) 344-2014
Fax: (314) 747-1476
Type: Mailing
4 MEMORIAL DR STE 230B
ALTON, IL 620026705
Phone: (636) 344-2014
Fax: (314) 747-1476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $154.
Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Kerecis Limited ($59).
Total Amount
$154
General + Research + Ownership
Payments
9
Total payment records
General Amount
$154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050412000220 | I | Infectious Disease | IL | TBD |
| I20081017000504 | I | Infectious Disease | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 404 | 16 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 323 | 75 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 290 | 235 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 170 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 66 | $0 |
Insurance plans in this area (ZIP 62002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INFECTIOUS DISEASE | IL | 11042 | Removal of skin and tissue first 20 sq cm or less | 77 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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