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DR. RAUL EDGARDO MEDINA M.D.
NPI 1497719983
Family Medicine in Lake City, FL

Active since April 13, 2006PECOS Enrolled
619 SOUTH MARION AVE, VA HOSPITAL, LAKE CITY, FL 32025(386) 755-3016 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raul Edgardo Medina M.d. NPPES

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

DR. RAUL EDGARDO MEDINA M.D. (NPI 1497719983) is an individual family medicine provider in Lake City, Florida, licensed in Puerto Rico (13584) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497719983
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAUL EDGARDO MEDINACredential: M.D.
Location Address619 SOUTH MARION AVE, VA HOSPITALLake City, FL 32025
Mailing Address619 South Marion Ave., Va Hospital Orange Clinic Primary CareLake City, FL 32025 · (386) 755-3016
Phone(386) 755-3016
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateJune 26, 2009
✔ NPI 1497719983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 13584
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.
619 SOUTH MARION AVE, Lake City, FL 32025
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Other Identifiers 3

Medicare ID-Type Unspecified20673PR
Medicare UPINH40976PR
Medicare UPINH40976

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raul Edgardo Medina M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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.

Other Providers at the Same Location NPPES 5

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

MRS. EUNICE LUVIS PHARMACIST
Pharmacist
619 SOUTH MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
MR. CHARLES HOLLOWAY BOARDMAN IV OTR
Occupational Therapist
619 SOUTH MARION AVE, NORTH FLORIDA / SOUTH GEORGIA VETERANS HEALTH SYSTEM
LAKE CITY, FL 32025
Columbia County (386) 755-3016
DR. KATHLEEN ERINA MCNAMARA MD
Family Medicine
619 SOUTH MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
DR. ANN M BARBER M.D.
Internal Medicine
619 SOUTH MARION AVE, VAMC - LAKE CITY
LAKE CITY, FL 32025
Columbia County (212) 399-3421
GAINESVILLE VAMC
Department of Veterans Affairs (VA) Pharmacy
619 SOUTH MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 754-6349

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 Medina's NPI number?

The NPI number for Raul Medina is 1497719983. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Raul Medina located?

Raul Medina practices at 619 South Marion Ave VA Hospital, Lake City, FL 32025. The listed phone number is (386) 755-3016.

What is Raul Medina's specialty?

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

Is Raul Medina enrolled in Medicare?

Yes. Raul Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raul Medina was last updated on June 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.