DR. ADALBERTO ALFONSO MD
NPI 1013271881
Emergency Medicine in Lakeland, FL

Q: What is Adalberto Alfonso's NPI number?

The NPI number for Adalberto Alfonso is 1013271881. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Adalberto Alfonso's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Adalberto Alfonso was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2012PECOS Enrolled

86.28/100

CMS Quality Rating

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1359(863) 284-1621 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Adalberto Alfonso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADALBERTO ALFONSO MD (NPI 1013271881) is an individual emergency medicine provider in Lakeland, Florida, licensed in Florida (ME122516) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013271881

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ADALBERTO ALFONSOCredential: MD

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1359 · Fax (863) 284-1621

Phone(863) 687-1359

Fax(863) 284-1621

Sole ProprietorNo

Enumeration DateJune 27, 2012

Last NPPES UpdateJune 30, 2015

✔ NPI 1013271881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME122516

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adalberto Alfonso Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

313 services305 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

253 services244 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

130 services130 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

100 services96 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.19

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)