Quick answers
- Does Rafael M. De La Cruz accept Medicare assignment?
- Yes. Medicare's clinician data says Rafael M. De La Cruz accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Rafael M. De La Cruz see?
- In 2024, CMS data shows 429 Original Medicare patients and 1,522 services for Rafael M. De La Cruz. This counts Original Medicare only and measures volume, not quality.
- What is Rafael M. De La Cruz's NPI number?
- 1669460655. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Rafael M. De La Cruz, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 429 |
|---|---|
| Services billed to Medicare | 1,522 |
| Different services or procedures | 29 |
| Participating Medicare provider | Yes |
| Average age of these patients | 74 |
Most frequent services
- Removal of tissue from wound, 20.0 sq cm or less (97597)369 services
- Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)301 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)190 services
- Removal of tissue from wound, each additional 20.0 sq cm (97598)136 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)123 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis73%
- Chronic kidney disease56%
- Diabetes52%
- Ischemic heart disease50%
Hospitals where Rafael M. De La Cruz works
Medicare's Facility Affiliation Data lists Rafael M. De La Cruz at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Alton Memorial HospitalAlton, IL · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 140002
- Barnes Jewish HospitalSaint Louis, MO · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 260032
- Memorial HospitalBelleville, IL · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 140185
- Missouri Baptist Medical CenterSaint Louis, MO · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 260108
- Progress West HospitalOfallon, MO · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 260219
Practice locations
Addresses where Rafael M. De La Cruz is enrolled with Medicare (CMS data updated October 2, 2026).
- 1 Memorial DrAlton, IL 62002 (618) 463‑7240
- 11155 Dunn Rd, Suite 109nSaint Louis, MO 63136 (314) 953‑8799
Group practices
Medicare enrollment lists Rafael M. De La Cruz as a member of this group (CMS data updated October 2, 2026).
- Fairview Heights Medical Group SC444 clinicians in the group
Specialties
- Infectious Diseaseprimary
- Internal Medicinealso
Other infectious disease doctors in Alton
Clinicians with the same Medicare primary specialty in Alton, IL — not a recommendation.
Other clinicians in Fairview Heights Medical Group SC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 1995 (31 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1669460655 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians