1. Home
  2. Directory
  3. Florida
  4. Saint Cloud
  5. Family Medicine
  6. NPI Profile

TANYA M MEDINA MD
NPI 1023069960
Family Medicine in Saint Cloud, FL

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
618 13TH ST, STE A, SAINT CLOUD, FL 34769(407) 556-3999(407) 556-3933 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tanya M Medina Md NPPES

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

TANYA M MEDINA MD (NPI 1023069960) is an individual family medicine provider in Saint Cloud, Florida, licensed in Florida (ME84474) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1023069960
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTANYA M MEDINACredential: MD
Location Address618 13TH ST, STE ASaint Cloud, FL 34769-4503
Mailing Address618 13th St, SteaSaint Cloud, FL 34769-4503 · (407) 556-3999 · Fax (407) 556-3933
Phone(407) 556-3999
Fax(407) 556-3933
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateMay 15, 2006
Last NPPES UpdateMay 11, 2010
✔ NPI 1023069960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME84474
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
618 13TH ST, Saint Cloud, FL 34769
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINK7144FL
Medicaid270733100FL
Medicare UPIN50032Z
Medicare UPINI25127FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanya M Medina Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173575263
PECOS Enrollment IDI20050218000063
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.

Medicare Billing Reassignment

Medicare enrollment records show Tanya Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

J. Rapha Medical, PA
Same address
Specialist
618 13TH STREET
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
NPI 1508051442 (407) 556-3999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
313 services137 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
82 services82 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
79 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health St Cloud Hospital

Acute Care Hospitals · Saint Cloud, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100302
Location2906 17th StreetSaint Cloud, FL 34769 · Osceola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34769 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims42 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims17 services$1.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Medina's NPI number?

The NPI number for Tanya Medina is 1023069960. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Tanya Medina located?

Tanya Medina practices at 618 13th St Ste A, Saint Cloud, FL 34769. The listed phone number is (407) 556-3999.

What is Tanya Medina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tanya Medina enrolled in Medicare?

Yes. Tanya Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tanya Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Medina reassigns Medicare benefits to J. Rapha Medical, PA (Saint Cloud, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanya Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Medina accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tanya Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tanya Medina affiliated with any hospitals?

According to CMS data, Tanya Medina is affiliated with Adventhealth Orlando and Orlando Health St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Tanya Medina was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.