DR. ROBERT CRUZ VERGARA MD
NPI 1174578710
Emergency Medicine in Davenport, FL

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
40100 HIGHWAY 27, DAVENPORT, FL 33837(863) 422-4971(863) 419-2264 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2022, Jul 18, 2019, Nov 19, 2018 (3 updates tracked since 2018).

About Dr. Robert Cruz Vergara Md NPPES

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

DR. ROBERT CRUZ VERGARA MD (NPI 1174578710) is an individual emergency medicine provider in Davenport, Florida, licensed in Illinois (036115480) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Heart Of Florida, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1174578710
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ROBERT CRUZ VERGARACredential: MD
Location Address40100 HIGHWAY 27Davenport, FL 33837-5900
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(863) 419-2264
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 19, 20223 updates tracked since enumeration
NPPES CertifiedMarch 19, 2022
✔ NPI 1174578710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036115480✔ Licensed in FL · ME95775✔ Licensed in SC · 87392
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME95775 (FL), 036115480 (IL), 072944 (GA)
40100 HIGHWAY 27, Davenport, FL 33837

Other Names 1

Other Name (5)Robert John Cruz Vergara Md

Secondary Practice Location 1

Location 16800 State Route 162Maryville, IL 62062-8521 · Phone (618) 288-5711 · Fax (618) 288-4088

Other Identifiers 3

Medicaid036115480-4IL
Other3932056IL · Blue Shield
Medicaid036115480IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Cruz Vergara 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 ID6305858093
PECOS Enrollment IDI20060621000083, I20090713000132
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 Reassignments

16

Medicare enrollment records show Robert Vergara reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
40100 HIGHWAY 27
Davenport, FL 33837
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
Emergency Medicine
950 N MAIN ST
Bushnell, FL 33513
  • Reassigned Medicare billing, Florida enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
Rural Health
172 MJ TAYLOR RD
Adel, GA 31620
  • Reassigned Medicare billing, Georgia enrollment
  • 337 clinicians in this Medicare group
Emergency Medicine
91500 OVERSEAS HWY
Tavernier, FL 33070
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
Emergency Medicine
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 160 clinicians in this Medicare group
Emergency Medicine
1801 ASHLEY CIR
Bowling Green, KY 42104
  • Reassigned Medicare billing, Kentucky enrollment
  • 103 clinicians in this Medicare group
Emergency Medicine
9515 HOLY CROSS LN
Breese, IL 62230
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
Emergency Medicine
6800 IL 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
227 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
185 services179 patients
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.
67 services65 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Hca Florida Poinciana Hospital

Acute Care Hospitals · Kissimmee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100320
Location325 Cypress PkwyKissimmee, FL 34758 · Osceola County
Emergency services

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141332
Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Emergency Medicine
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pediatrics
40100 HIGHWAY 27
DAVENPORT, FL 33837
Radiology (Diagnostic Radiology)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Nurse Practitioner
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Registered Nurse (Registered Nurse First Assistant)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pathology (Anatomic Pathology & Clinical Pathology)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pathology (Anatomic Pathology & Clinical Pathology)
40100 HIGHWAY 27
DAVENPORT, FL 33837

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 Robert Vergara's NPI number?

The NPI number for Robert Vergara is 1174578710. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Robert John Cruz Vergara MD.

Where is Robert Vergara located?

Robert Vergara practices at 40100 Highway 27, Davenport, FL 33837. The listed phone number is (863) 422-4971.

What is Robert Vergara's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Vergara enrolled in Medicare?

Yes. Robert Vergara 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.

Which organizations bill Medicare for Robert Vergara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Vergara reassigns Medicare benefits to 16 organizations: Ridgewood Emergency Group, LLC (Davenport, FL), Lake Wales Emergency Physicians, LLC (Lake Wales, FL), Sheridan Emergency Physician Services Inc (Bushnell, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Tift Regional Health System, Inc. (Adel, GA) and 11 more organizations, listed in the Medicare section above. Each 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 Robert Vergara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Vergara accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Robert Vergara 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 Robert Vergara affiliated with any hospitals?

According to CMS data, Robert Vergara is affiliated with Adventhealth Heart Of Florida, Hca Florida Poinciana Hospital, Osf Saint Anthony's Health Center and Hillsboro Area Hospital.

When was this NPI record last updated?

The NPPES record for Robert Vergara was last updated on March 19, 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.