DR. RICARDO BANJAMIN ALVAREZ MD
NPI 1417078031
Internal Medicine in Columbus, GA

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1013 TALBOTTON RD, COLUMBUS, GA 31904(706) 507-7067(706) 221-3179 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2022, Oct 28, 2020, Aug 13, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Ricardo Banjamin Alvarez Md NPPES

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

DR. RICARDO BANJAMIN ALVAREZ MD (NPI 1417078031) is an individual internal medicine provider in Columbus, Georgia, licensed in Georgia (052876) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1417078031
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICARDO BANJAMIN ALVAREZCredential: MD
Location Address1013 TALBOTTON RDColumbus, GA 31904-8744
Mailing Address1013 Talbotton RdColumbus, GA 31904-8744 · (706) 507-7067 · Fax (706) 221-3179
Fax(706) 221-3179
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateApril 2, 2007
Last NPPES UpdateOctober 24, 20224 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1417078031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 052876
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 052876 (GA)
1013 TALBOTTON RD, Columbus, GA 31904

Other Identifiers 1

Medicaid518280047CGA

Accepted 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. Ricardo Banjamin Alvarez 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 ID1759367436
PECOS Enrollment IDI20080115000446
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 11

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.
519 services164 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
104 services52 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
100 services30 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
76 services48 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
53 services13 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.03
Promoting Interoperability98
Improvement Activities40
Cost86.59

Reported Quality Measures

Advance Care Plan
2%448 patients1/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
5%739 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%689 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%4,514 patients4/55-star benchmark: 100%
e-Prescribing
98%3,951 patients4/55-star benchmark: 100%
Falls: Plan of Care
100%30 patients
Falls: Screening for Future Fall Risk
100%421 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%1,468 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%885 patients4/55-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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers11 claims184 services$18.64 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers54 claims217 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims35 services$1.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
20 suppliers306 claims306 services$197.43 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 3

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

Non-Pharmacy Dispensing Site
1013 TALBOTTON RD
COLUMBUS, GA 31904
General Practice
1013 TALBOTTON RD
COLUMBUS, GA 31904
Internal Medicine (Hematology & Oncology)
1013 TALBOTTON RD
COLUMBUS, GA 31904

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 Ricardo Alvarez's NPI number?

The NPI number for Ricardo Alvarez is 1417078031. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Ricardo Alvarez located?

Ricardo Alvarez practices at 1013 Talbotton Rd, Columbus, GA 31904. The listed phone number is (706) 507-7067.

What is Ricardo Alvarez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ricardo Alvarez enrolled in Medicare?

Yes. Ricardo Alvarez 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 Ricardo Alvarez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ricardo Alvarez 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.

When was this NPI record last updated?

The NPPES record for Ricardo Alvarez was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.