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Pon Ti Cruise

NPI 1770143141ActiveIndividual· Family Medicine· Athens, OH

Family Medicine in Athens, Ohio, trained at Ohio University, College of Osteopathic Medicine (class of 2019). In 2024 Medicare paid $23,411 for 152 patients, and Part D covered 384 of their prescriptions, 89% of them generic.

Overview

NPI1770143141
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 18, 2019
Last updated in NPPESJul 5, 2022
Certified by providerJul 5, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X34.015970OH
Family Medicine207Q00000XOT019100PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients152
Services billed305 across 8 procedure codes
Paid by Medicare$23,411

Part D prescriptions in 2024

Prescriptions (claims)384 · 385 30-day fills
Patients172
Total drug cost$15,820
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Medical schoolOhio University, College of Osteopathic Medicine
Graduation year2019
Medicare specialtyFamily Practice

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Athens

All 57 family medicine physicians in Athens · All family medicine physicians in Ohio