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

Q: 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.

Q: What is Robert Vergara's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Vergara was last updated on March 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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 Hca Florida Poinciana Hospital, 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

Phone(863) 422-4971

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance 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. 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

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.

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.

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

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin 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

Quality

100

Improvement Activities

Cost

94.69

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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.

DR. JORDAN MARTINEZ MD

Emergency Medicine