DR. MANUEL F BETANCOURT-RAMIREZ M.D.
NPI 1154523397
Internal Medicine - Pulmonary Disease in Winter Park, FL

Q: What is Manuel Betancourt-ramirez's NPI number?

The NPI number for Manuel Betancourt-ramirez is 1154523397. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Q: What is Manuel Betancourt-ramirez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1110 N KENTUCKY AVE, WINTER PARK, FL 32789(407) 539-2766(407) 539-2786 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Manuel F Betancourt-ramirez M.d. NPPES

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

DR. MANUEL F BETANCOURT-RAMIREZ M.D. (NPI 1154523397) is an individual pulmonary disease provider in Winter Park, Florida, licensed in Florida (ME105206) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1154523397

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MANUEL F BETANCOURT-RAMIREZCredential: M.D.

Location Address1110 N KENTUCKY AVEWinter Park, FL 32789-4741

Mailing Address1110 N Kentucky AveWinter Park, FL 32789-4741 · (074) 539-2766 · Fax (407) 539-2786

Phone(407) 539-2766

Fax(407) 539-2786

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 1, 2007

Last NPPES UpdateMarch 19, 2018

✔ NPI 1154523397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · ME105206

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME105206 (FL)

1110 N KENTUCKY AVE, Winter Park, FL 32789

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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).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. Manuel F Betancourt-ramirez 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 ID8628194941

PECOS Enrollment IDI20100923001378

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 3

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.

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.

261 services103 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.

43 services31 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.

18 services14 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100052

Location200 Ave F NEWinter Haven, FL 33881 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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.

75/100

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

Individually scored

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%60 patients5/55-star benchmark: 100%

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 4

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers12 claims12 services$34.16 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers11 claims11 services$13.40 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers23 claims129 services$1.73 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers12 claims12 services$10.95 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 10

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

FIYAD HANIFF DO

Internal Medicine (Pulmonary Disease)