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DR. MARCELA ARGUEDAS M.D.
NPI 1164614186
Family Medicine in Fort Meade, FL

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
25 N LANIER AVE, FORT MEADE, FL 33841(863) 285-7171(863) 285-6701 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marcela Arguedas M.d. NPPES

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

DR. MARCELA ARGUEDAS M.D. (NPI 1164614186) is an individual family medicine provider in Fort Meade, Florida, licensed in Florida (ME106627) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Wauchula, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1164614186
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARCELA ARGUEDASCredential: M.D.
Location Address25 N LANIER AVEFort Meade, FL 33841-2918
Mailing Address25 N Lanier AveFort Meade, FL 33841-2918 · (863) 285-7171 · Fax (863) 285-6701
Phone(863) 285-7171
Fax(863) 285-6701
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 14, 2007
Last NPPES UpdateJuly 8, 2010
✔ NPI 1164614186 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 · ME106627
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.
25 N LANIER AVE, Fort Meade, FL 33841
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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. Marcela Arguedas 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 ID9537345046
PECOS Enrollment IDI20110518000440
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 4

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.
119 services53 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.
94 services41 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.
30 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101300
Location735 S 5th AveWauchula, FL 33873 · Hardee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33841 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
3 suppliers11 claims42 services$5.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims23 services$71.35 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 2

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

DR. ALNER MIGUEL QUINONEZ M.D.
Family Medicine
25 N LANIER AVE
FORT MEADE, FL 33841
Polk County (863) 285-7171
ALNER MIGUEL QUINONEZ, M.D., P.A.
Family Medicine
25 N LANIER AVE
FORT MEADE, FL 33841
Polk County (863) 285-7171

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 Marcela Arguedas's NPI number?

The NPI number for Marcela Arguedas is 1164614186. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Marcela Arguedas located?

Marcela Arguedas practices at 25 N Lanier Ave, Fort Meade, FL 33841. The listed phone number is (863) 285-7171.

What is Marcela Arguedas's specialty?

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

Is Marcela Arguedas enrolled in Medicare?

Yes. Marcela Arguedas 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 Marcela Arguedas accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Marcela Arguedas 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 Marcela Arguedas affiliated with any hospitals?

According to CMS data, Marcela Arguedas is affiliated with Adventhealth Wauchula.

When was this NPI record last updated?

The NPPES record for Marcela Arguedas was last updated on July 8, 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.