DR. ADRIANA L MONCAYO M.D
NPI 1508215146
Internal Medicine - Rheumatology in Plant City, FL

Active since June 05, 2016PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
511 W ALEXANDER ST, PLANT CITY, FL 33563(863) 284-5115(863) 284-1916 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2022, Jul 9, 2021, Sep 11, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Adriana L Moncayo M.d NPPES

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

DR. ADRIANA L MONCAYO M.D (NPI 1508215146) is an individual rheumatology provider in Plant City, Florida, licensed in Florida (ME148338) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1508215146
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ADRIANA L MONCAYOCredential: M.D
Location Address511 W ALEXANDER STPlant City, FL 33563-7116
Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100
Fax(863) 284-1916
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 5, 2016
Last NPPES UpdateJuly 30, 20224 updates tracked since enumeration
NPPES CertifiedJuly 30, 2022
NPI 1508215146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in FL · ME148338
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
511 W ALEXANDER ST, Plant City, FL 33563

Secondary Practice Location 1

Location 13030 Harden BlvdLakeland, FL 33803-7952 · Phone (863) 284-5115 · Fax (863) 413-4739

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. Adriana L Moncayo 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 ID4486054137
PECOS Enrollment IDI20210617000058
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 12

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.
110 services67 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
64 services38 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
59 services38 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
57 services36 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
56 services42 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
49 services31 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

Other Providers at the Same Location NPPES 11

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

Family Medicine
511 W ALEXANDER ST, SUITE 1
PLANT CITY, FL 33563
Pediatrics
511 W ALEXANDER ST, SUITE 2
PLANT CITY, FL 33563
Physical Therapist
511 W ALEXANDER ST
PLANT CITY, FL 33563
Internal Medicine (Rheumatology)
511 W ALEXANDER ST
PLANT CITY, FL 33563
Orthopaedic Surgery
511 W ALEXANDER ST
PLANT CITY, FL 33563
Internal Medicine
511 W ALEXANDER ST
PLANT CITY, FL 33563
Clinic/Center (Multi-Specialty)
511 W ALEXANDER ST
PLANT CITY, FL 33563
Pediatrics
511 W ALEXANDER ST, SUITE 2
PLANT CITY, FL 33563

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 Adriana Moncayo's NPI number?

The NPI number for Adriana Moncayo is 1508215146. It was assigned to this individual provider in the NPPES registry on June 5, 2016.

Where is Adriana Moncayo located?

Adriana Moncayo practices at 511 W Alexander St, Plant City, FL 33563. The listed phone number is (863) 284-5115.

What is Adriana Moncayo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Adriana Moncayo enrolled in Medicare?

Yes. Adriana Moncayo 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 Adriana Moncayo accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Adriana Moncayo 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 Adriana Moncayo affiliated with any hospitals?

According to CMS data, Adriana Moncayo is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Adriana Moncayo was last updated on July 30, 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.