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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RAUL A CORREA M.D.
NPI 1417955840
Neuromusculoskeletal Medicine, Sports Medicine in Bradenton, FL

Active since July 10, 2005PECOS Enrolled
75/100
CMS Quality Rating
2505 MANATEE AVE W, BRADENTON, FL 34205(941) 748-1171(941) 748-4531 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raul A Correa M.d. NPPES

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

DR. RAUL A CORREA M.D. (NPI 1417955840) is an individual neuromusculoskeletal medicine, sports medicine provider in Bradenton, Florida, licensed in Florida (ME0026868) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Other (1966).

NPPES Registry Identity

NPI1417955840
Entity TypeIndividualMale
Primary Taxonomy204C00000X
Provider Legal NameDR. RAUL A CORREACredential: M.D.
Location Address2505 MANATEE AVE WBradenton, FL 34205-4935
Mailing Address4004 Bayside DrBradenton, FL 34210-4113 · (941) 755-3300 · Fax (941) 751-3809
Phone(941) 748-1171
Fax(941) 748-4531
Sole ProprietorNo
Medical School CMSOtherGraduated 1966
Enumeration DateJuly 10, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417955840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in FL · ME0026868
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
2505 MANATEE AVE W, Bradenton, FL 34205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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. Raul A Correa 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 ID648344978
PECOS Enrollment IDI20080805000714
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 2

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.
1,817 services97 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
197 services29 patients

Hospital Affiliations CMS Care Compare

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34205 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
0%577 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
59%577 patients3/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
76%577 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%577 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%577 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
67%577 patients5/55-star benchmark: 59%
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 8

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
9 suppliers25 claims71 services$6.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims22 services$1.20 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.96 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
2 suppliers35 claims35 services$58.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$27.37 avg. paid by Medicare
Manual wheelchair accessory, wheel braking system and lock, complete, each E2228
DME-Wheelchairs · category DD021N
1 supplier11 claims21 services$42.36 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.

ANTHONY CUVA MD,PA
Skilled Nursing Facility
2505 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 794-0646
DR. RAUL CORREA
General Practice
2505 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 748-1171
MAGDALENA NEVES COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2505 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 704-7053

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 Raul Correa's NPI number?

The NPI number for Raul Correa is 1417955840. It was assigned to this individual provider in the NPPES registry on July 10, 2005.

Where is Raul Correa located?

Raul Correa practices at 2505 Manatee Ave W, Bradenton, FL 34205. The listed phone number is (941) 748-1171.

What is Raul Correa's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Raul Correa enrolled in Medicare?

Yes. Raul Correa 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 Raul Correa accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Raul Correa 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 Raul Correa affiliated with any hospitals?

According to CMS data, Raul Correa is affiliated with Manatee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Raul Correa was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.