Dr. Rafael M. De La Cruz, MD
- Medicare services, 2024
- 1,395
- Medicare patients, 2024
- 429
- Part D claims, 2024
- 1,040
- Hospital affiliations
- 5
- Industry payments
- $842
- Practice address
- 2 Progress Point Pkwy, O Fallon, MO 63368
- Practice phone
- Call (636) 344-2273
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. De La Cruz's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Rafael M. De La Cruz is an infectious disease specialist in O Fallon, Missouri
Dr. De La Cruz practices at Progress West Hospital in O Fallon, Missouri, part of BJC Health.
Dr. De La Cruz's NPI, 1669460655, was assigned on October 12, 2005. Dr. De La Cruz holds Illinois license 036-108921.
- NPI
- 1669460655NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6204873292
- NPI enumeration date
- October 12, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (636) 344-2273
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 57
- Medical school graduation
- 1995
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Rafael M. De La Cruz practices at Progress West Hospital in O Fallon, Missouri
Dr. De La Cruz's primary practice is Progress West Hospital, at 2 Progress Point Pkwy, O Fallon, MO 63368 in St. Charles County. The practice phone is (636) 344-2273.
- Progress West Hospital2 Progress Point Pkwy, O Fallon, MO 63368 · St. Charles CountyPhone(636) 344-2273
Source: Dmand AI Affiliation Data
Dr. Rafael M. De La Cruz is affiliated with 8 sites of care and 2 medical groups
Dr. De La Cruz's primary practice is Progress West Hospital in O Fallon, Missouri, part of BJC Health. Dr. De La Cruz is also affiliated with Barnes-Jewish Hospital. The medical group on file is BJC Medical Group. Dmand AI also links Dr. De La Cruz to 3 more hospitals, 2 home health agencies, 1 group practice or clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Rafael M. De La Cruz's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. De La Cruz practices, 8 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Progress West Hospital | Available with a free account |
| +7 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across BJC Health and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Rafael M. De La Cruz is one of 179 infectious disease specialists in Missouri
Infectious disease is Dr. De La Cruz's primary specialty in the NPI Registry, under taxonomy code 207RI0200X. Dmand AI has Dr. De La Cruz's licenses on file in 2 states: Illinois and Missouri.
Specialties and state licenses
- Infectious disease, IllinoisPrimary
- Missouri license
Infectious disease specialists near Dr. De La Cruz
Counts of infectious disease specialists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Rafael M. De La Cruz billed Medicare for 1,395 services in 2024
CMS data shows 1,395 Medicare services from Dr. De La Cruz across 10 procedure codes in 2024, for 429 Medicare patients. Medicare paid $77,814 for them.
Dr. De La Cruz's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6832024: 82621%
- Tests and treatments
- 2023: 7272024: 50531%
- Surgery
- 2023: 372024: 6473%
Where Dr. De La Cruz's Medicare services took place, 2024
- In an office16112%
- In a facility1,23488%
Dr. De La Cruz compared with the Missouri median for infectious disease specialists, 2024
- Dr. De La Cruz
- Missouri median
- Medicare services
- 1,395vs 2765.1 times
- Medicare patients
- 429vs 1273.4 times
- Part D claims
- 944vs 2034.7 times
Medians across 176 infectious disease specialists in Missouri with Dmand AI profiles that report each measure.
Dr. De La Cruz's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. De La Cruz?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. De La Cruz and other infectious disease specialists in Missouri.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Rafael M. De La Cruz treated 429 Medicare patients in 2024, average age 74
CMS counts 429 Medicare patients who saw Dr. De La Cruz in 2024. The largest group is 65 to 74, with 154 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 19% are also on Medicaid. Their average risk score is 2.85, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. De La Cruz's median patient age at 70, with 47% women.
Dr. De La Cruz's Medicare patients by age, 2024
Dr. De La Cruz's Medicare patients by sex, 2024
- Women21049%
- Men21951%
Chronic conditions among Dr. De La Cruz's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis73%
- Chronic kidney disease56%
- Diabetes52%
- Ischemic heart disease50%
- Heart failure48%
- Mood disorders45%
Share of Medicare patients with each condition. A patient can have several.
Dr. De La Cruz's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 70
Patient panel by sex, all payers
- Women47%
- Men53%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Rafael M. De La Cruz wrote 1,040 Medicare Part D claims in 2024
In 2024, Dr. De La Cruz wrote 1,040 Medicare Part D claims for 238 patients. 92% of them were for generic drugs. CMS names the drug for 944 of them, across 21 drugs with 11 or more claims each, at $331,408 in total drug cost. In 2023, CMS named 871 claims across 20 drugs.
Dr. De La Cruz's Part D claims by kind of drug, 2024
- Generic958 claims92%
- Brand-name82 claims8%
Dr. De La Cruz's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. De La Cruz's Part D claims, 2024
- Antibiotics82%853 of 1,040 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 8712024: 9448%
Drugs named by CMS: 21 in 2024, 20 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Rafael M. De La Cruz ranks in the 96th percentile for removal of tissue in Medicare
Dr. De La Cruz accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 408 procedures of removal of tissue by Dr. De La Cruz, more than 96% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Where Dr. De La Cruz ranks in Medicare procedure volume
- Removal of tissue
- 96th percentile408 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
For MedTech and pharma teams
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
Dr. Rafael M. De La Cruz received $842 in industry payments from 2016 to 2025
CMS Open Payments shows 40 general payments to Dr. De La Cruz from 16 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 98% of the total. Organogenesis Inc. paid the most, $240.
General payments to Dr. De La Cruz by program year, 2016 to 2025
General payments to Dr. De La Cruz by kind, 2016 to 2025
- Food and beverage$82998%
- Education$142%
Companies that paid Dr. De La Cruz the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Rafael M. De La Cruz's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Rafael M. De La Cruz
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Rafael M. De La Cruz's NPI number?
Dr. Rafael M. De La Cruz's NPI number is 1669460655. It was assigned on October 12, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Rafael M. De La Cruz?
Dr. Rafael M. De La Cruz is an infectious disease specialist in O Fallon, Missouri. The primary specialty in the NPI Registry is Infectious Disease Physician (taxonomy code 207RI0200X).
Where does Dr. Rafael M. De La Cruz practice?
Dr. De La Cruz practices at 2 Progress Point Pkwy, O Fallon, MO 63368. Dr. De La Cruz's primary practice is Progress West Hospital in O Fallon, Missouri, part of BJC Health. Dmand AI also links Dr. De La Cruz to 3 hospitals, 2 home health agencies, 1 group practice or clinic and 1 medical group.
What is Dr. Rafael M. De La Cruz's office phone number?
The practice phone on file for Dr. De La Cruz is (636) 344-2273.
What is Dr. Rafael M. De La Cruz's medical license number?
Dr. De La Cruz holds Illinois license 036-108921, one of the licenses on file in 2 states.
Which states has Dr. Rafael M. De La Cruz been licensed in?
Dmand AI has state licenses on file for Dr. De La Cruz in Illinois and Missouri.
Which hospitals is Dr. Rafael M. De La Cruz affiliated with?
Dr. De La Cruz practices at Progress West Hospital in O Fallon, Missouri. Dr. De La Cruz is also affiliated with Barnes-Jewish Hospital. Dmand AI links Dr. De La Cruz to 3 more hospitals.
What medical group is Dr. Rafael M. De La Cruz part of?
Dr. De La Cruz is linked to BJC Medical Group. Dmand AI links Dr. De La Cruz to 1 more medical group.
Does Dr. Rafael M. De La Cruz accept Medicare?
Yes. CMS data shows Dr. De La Cruz billed Medicare for 1,395 services in 2024, and Dr. De La Cruz accepts Medicare assignment.
How many Medicare patients does Dr. Rafael M. De La Cruz see?
CMS counts 429 Medicare patients who saw Dr. De La Cruz in 2024, with an average age of 74.
Show 4 more questionsShow fewer questions
What services does Dr. Rafael M. De La Cruz bill to Medicare?
In 2024, Dr. De La Cruz's most billed Medicare services were physical therapy and rehabilitation (97597), hospital inpatient care (99222) and hospital inpatient care (99232).
What drugs does Dr. Rafael M. De La Cruz prescribe most?
In 2024 Medicare Part D data, Dr. De La Cruz's most prescribed drugs by claims were Doxycycline Hyclate, Cephalexin and Ceftriaxone.
Has Dr. Rafael M. De La Cruz received payments from drug or device companies?
CMS Open Payments shows $842 in general payments to Dr. De La Cruz from 16 companies from 2016 to 2025. The largest total came from Organogenesis Inc.
How long has Dr. Rafael M. De La Cruz been practicing?
Dr. De La Cruz graduated from medical school in 1995, 31 years ago.
Selling to infectious disease practices?
See infectious disease specialists in Missouri by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card