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DR. RAMONA M ARIAS M.D.
NPI 1154392801
Specialist in St Petersburg, FL

Active since January 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0292028 · Waiver
75/100
CMS Quality Rating
4880 49TH ST N, ST PETERSBURG, FL 33709(727) 526-9019(727) 522-7171 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ramona M Arias M.d. NPPES

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

DR. RAMONA M ARIAS M.D. (NPI 1154392801) is an individual specialist in St Petersburg, Florida, licensed in Florida (ME0047231) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with St Anthonys Hospital.

NPPES Registry Identity

NPI1154392801
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. RAMONA M ARIASCredential: M.D.
Location Address4880 49TH ST NSt Petersburg, FL 33709-3800
Mailing Address4840 49th St NSt Petersburg, FL 33709-3800 · (727) 526-9019 · Fax (727) 522-7171
Phone(727) 526-9019
Fax(727) 522-7171
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1980
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 9, 2014
✔ NPI 1154392801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0047231
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4880 49TH ST N, St Petersburg, FL 33709
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Other Identifiers 3

Medicare UPINE14500FL
Medicare PINK3926FL
Medicaid047919500FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ramona M Arias M.d. 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 ID4284659350
PECOS Enrollment IDI20100227000061
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0292028

Ramona Arias MD PA · Saint Petersburg, FL
Active · expires Aug 31, 2026
CLIA Number10D0292028
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRamona Arias
Laboratory Phone(727) 526-9219
Laboratory LocationRamona Arias MD PA4880 49th St N, Saint Petersburg, FL 33709
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.
894 services296 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
359 services72 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.
83 services83 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.
52 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services29 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
27%545 patients2/55-star benchmark: 96%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
13%126 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,446 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
68%2,928 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
16%69 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%25 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%844 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%700 patients3/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%1,343 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
26%1,093 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%844 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
12%401 patients1/55-star benchmark: 97%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
35%844 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

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
16 suppliers40 claims117 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims32 services$0.98 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims430 services$0.21 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.25 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers14 claims550 services$0.23 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers16 claims16 services$46.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

RAMONA ARIAS M.D. ,P.A.
Internal Medicine (Nephrology)
4880 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 526-9019

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 Ramona Arias's NPI number?

The NPI number for Ramona Arias is 1154392801. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Ramona Arias located?

Ramona Arias practices at 4880 49th St N, St Petersburg, FL 33709. The listed phone number is (727) 526-9019.

What is Ramona Arias's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ramona Arias enrolled in Medicare?

Yes. Ramona Arias 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.

Does Ramona Arias hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0292028) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ramona Arias accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ramona Arias 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 Ramona Arias affiliated with any hospitals?

According to CMS data, Ramona Arias is affiliated with St Anthonys Hospital, St Josephs Hospital, Morton Plant Hospital, Hca Florida St Petersburg Hospital and Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ramona Arias was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.