1. Home
  2. Directory
  3. Florida
  4. Winter Haven
  5. Pediatrics
  6. NPI Profile

RAUL ALVAREZ JR. M.D.
NPI 1083618698
Pediatrics in Winter Haven, FL

Active since June 10, 2005PECOS Enrolled
80.11/100
CMS Quality Rating
430 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 284-6850(863) 284-6853 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Raul Alvarez Jr. M.d. NPPES

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

RAUL ALVAREZ JR. M.D. (NPI 1083618698) is an individual pediatrics provider in Winter Haven, Florida, licensed in Florida (ME50256) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083618698
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAUL ALVAREZ JR.Credential: M.D.
Location Address430 E CENTRAL AVEWinter Haven, FL 33880-3050
Mailing Address1324 Lakeland Hills Blvd, Attn: Medical Staff OfficeLakeland, FL 33805-4543
Phone(863) 284-6850
Fax(863) 284-6853
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1083618698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME50256
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
430 E CENTRAL AVE, Winter Haven, FL 33880
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Alvarez Jr. M.d. 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.

Medicare Billing Reassignment

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

Lakeland Regional Health Systems, Inc.
14 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

Other Providers at the Same Location NPPES 7

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

LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Clinic/Center (Multi-Specialty)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-6850
MS. BRITTNEY L ROBINSON ARNP
Nurse Practitioner (Pediatrics)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000
DR. MELISSA BLACKBURN DO
Pediatrics
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000
ROMANA PETROVICH ARNP
Nurse Practitioner (Pediatrics)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-6850
SUSAN SANDOVAL M.D.
Pediatrics
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-6850
SHAWNESE MCLEOD APRN
Nurse Practitioner (Family)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000
DR. ALINA STANICA MD
Pediatrics
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000

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 Raul Alvarez's NPI number?

The NPI number for Raul Alvarez is 1083618698. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Raul Alvarez located?

Raul Alvarez practices at 430 E Central Ave, Winter Haven, FL 33880. The listed phone number is (863) 284-6850.

What is Raul Alvarez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raul Alvarez enrolled in Medicare?

Yes. Raul Alvarez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raul Alvarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Alvarez reassigns Medicare benefits to Lakeland Regional Health Systems, Inc. (Lakeland, 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 Raul Alvarez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Alvarez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Raul Alvarez 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.

When was this NPI record last updated?

The NPPES record for Raul Alvarez was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.