2026 NPPES data Internal Medicine Physician NPI 1265509277 MD
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Gelsimo Cruz, MD

Internal Medicine Physician in Glen Burnie, Maryland. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
864
Medicare Part D claims · 274 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
27.4/100
▼ 56 pts below national avg 83.1 · Below average
Industry payments
$306.53
14 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Gelsimo Cruz, MD reported a CMS MIPS final score of 27.4/100 - below the 83.1 national average - and filed 864 Medicare Part D claims in 2023.

27.4/100
MIPS score · -56 vs avg
864
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Gelsimo Cruz, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

27 3rd percentile higher than 3% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Gelsimo Cruz, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gelsimo Cruz, MD writes more Part D claims than 53% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 80Gelsimo Cruz, MD-Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Gelsimo Cruz, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Gelsimo Cruz, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Gelsimo Cruz, MD?

Below national average

NPI registry status

Active

Issued 11/29/2006

NPI 1265509277

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

864 68% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

27.4/100 55.7 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Maryland

How Internal Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Largest specialties in Maryland (% of in-state providers)

Behavior Technician - 14.1%Behavior Technician14.1%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 4.5%Student in an Organized Health Care Education/Training Program4.5%Home Health Aide - 4.4%Home Health Aide4.4%Physical Therapist - 3.9%Physical Therapist3.9%Pharmacist - 3.6%Pharmacist3.6%Internal Medicine Physician - 2.8%Internal Medicine Physician2.8%
Largest specialties in Maryland (% of in-state providers)

Medicare quality performance, MIPS

Gelsimo Cruz, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
27.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 27.4/100 vs national avg 83.1

0%100%National avg83%27.4%
MIPS final score (Internal Medicine Physician) - 27.4/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Gelsimo Cruz, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 300 HOSPITAL DRIVE, Glen Burnie, MD, 21061, with a listed phone of (410) 279-3550. NPI 1265509277 was issued on 11/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Cruz most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 864 prescription claims written by this provider, covering 274 Medicare beneficiaries and totaling roughly $178K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 27.4/100 for the 2023 performance year (Quality 0, Cost 91.5), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

300 HOSPITAL DRIVE
Glen Burnie, MD 21061

Provider Details

NPI 1265509277
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/29/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

27.438
Final Score
Avg: 83.1
0
Quality
91.46
Cost

Reporting: Individual

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Gelsimo Cruz, MD. Source: openpaymentsdata.cms.gov.

Total received

$307

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

Gelsimo Cruz, MD - brand share 13.0%
Internal Medicine Physician average

13% brand-name claims vs 87% generic, on 864 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

864
Total Claims
$178K
Total Drug Cost
274
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,062
Total Day Supply
58,756
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$145K
Generic Drug Cost
$33K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.03
Gender Split
59% female / 41% male
Age Distribution
<65: 27, 65-74: 127, 75-84: 91, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Gelsimo Cruz, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Famotidine
314
Pantoprazole Sodium
176
Dicyclomine Hcl
45
Sucralfate
35
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
35
Dexlansoprazole Dr
Dexlansoprazole
26
Omeprazole
18
Cholestyramine Light
Cholestyramine/Aspartame
13
Mesalamine
12
Balsalazide Disodium
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How Gelsimo Cruz, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Gelsimo Cruz, MD's 864 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Cruz.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Gelsimo Cruz, MD's specialty?
Gelsimo Cruz, MD specializes in Internal Medicine Physician and practices in Glen Burnie, Maryland. Credentials: MD.
How much does Gelsimo Cruz, MD prescribe under Medicare Part D?
In 2023, Gelsimo Cruz, MD wrote 864 Medicare Part D claims totaling $178K in drug costs for 274 beneficiaries.
What is Gelsimo Cruz, MD's Medicare quality score?
Gelsimo Cruz, MD has a CMS MIPS Final Score of 27.4/100 (Quality: 0, Cost: 91.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gelsimo Cruz, MD located?
Gelsimo Cruz, MD is located at 300 HOSPITAL DRIVE, Glen Burnie, MD, 21061. Phone: (410) 279-3550.
What is Gelsimo Cruz, MD's NPI number?
Gelsimo Cruz, MD's National Provider Identifier (NPI) is 1265509277, issued on 11/29/2006.
Does Gelsimo Cruz, MD prescribe more brand-name or generic drugs?
Gelsimo Cruz, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $145K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Gelsimo Cruz, MD prescribe most often?
Based on 2023 Medicare Part D data, Gelsimo Cruz, MD's most frequently prescribed drugs include Famotidine, Pantoprazole Sodium, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gelsimo Cruz, MD accept Medicare?
Gelsimo Cruz, MD appears in CMS Medicare data with 864 Part D claims and 274 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gelsimo Cruz, MD's credentials?
Gelsimo Cruz, MD's NPI is 1265509277 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.