RUBICELIA PEREZ MD
NPI 1093372658
Family Medicine in Richland, WA

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
940 NORTHGATE DR, RICHLAND, WA 99352(509) 942-2516(509) 942-2527 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2022, Sep 2, 2019, May 20, 2019 (3 updates tracked since 2019).

About Rubicelia Perez Md NPPES

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

RUBICELIA PEREZ MD (NPI 1093372658) is an individual family medicine provider in Richland, Washington, licensed in Washington (MD61180187) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1093372658
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRUBICELIA PEREZCredential: MD
Location Address940 NORTHGATE DRRichland, WA 99352
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-2516 · Fax (509) 942-2527
Fax(509) 942-2527
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2019
Enumeration DateMay 20, 2019
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1093372658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61180187
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.
940 NORTHGATE DR, Richland, WA 99352

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rubicelia Perez 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 ID5496086530
PECOS Enrollment IDI20220818000485
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 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 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.
276 services215 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.
130 services122 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.
86 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
14 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

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.

Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Family Medicine
940 NORTHGATE DR
RICHLAND, WA 99352
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Family Medicine
940 NORTHGATE DR
RICHLAND, WA 99352
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Family Medicine
940 NORTHGATE DR
RICHLAND, WA 99352

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 Rubicelia Perez's NPI number?

The NPI number for Rubicelia Perez is 1093372658. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Rubicelia Perez located?

Rubicelia Perez practices at 940 Northgate Dr, Richland, WA 99352. The listed phone number is (509) 942-2516.

What is Rubicelia Perez's specialty?

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

Is Rubicelia Perez enrolled in Medicare?

Yes. Rubicelia Perez 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.

What insurance does Rubicelia Perez accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rubicelia Perez 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 Rubicelia Perez affiliated with any hospitals?

According to CMS data, Rubicelia Perez is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rubicelia Perez was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.