RAUL A MONZON MD
NPI 1508885286
Pain Medicine - Interventional Pain Medicine in St Augustine, FL

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
1301 PLANTATION ISLAND DR S, SUITE 301A, ST AUGUSTINE, FL 32080(904) 460-9555(904) 460-0090 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Raul A Monzon Md NPPES

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

RAUL A MONZON MD (NPI 1508885286) is an individual interventional pain medicine provider in St Augustine, Florida, licensed in Florida (ME51281) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains a secondary practice location in East Palatka.

NPPES Registry Identity

NPI1508885286
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameRAUL A MONZONCredential: MD
Location Address1301 PLANTATION ISLAND DR S, SUITE 301ASt Augustine, FL 32080-3108
Mailing Address1301 Plantation Island Dr S, Suite 301aSt Augustine, FL 32080-3108 · (904) 460-9555 · Fax (904) 460-0090
Fax(904) 460-0090
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
NPI 1508885286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in FL · ME51281
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME51281 (FL)
1301 PLANTATION ISLAND DR S, St Augustine, FL 32080

Secondary Practice Location 1

Location 1199 S US Highway 17 Ste CEast Palatka, FL 32131-6071 · Phone (386) 325-4699 · Fax (904) 460-0090

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

Raul A Monzon 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 ID2365462090
PECOS Enrollment IDI20051128000145
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 22

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
1,460 services177 patients
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965
Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.
981 services64 patients
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.
899 services258 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
579 services57 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
144 services82 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
144 services82 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

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.
24%2,134 patients1/55-star benchmark: 100%
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.
81%370 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.
98%1,057 patients4/55-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…
56%1,057 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…
0%1,057 patients1/55-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.

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.

Family Medicine
1301 PLANTATION ISLAND DR S, 102-B
ST AUGUSTINE, FL 32080
Podiatrist (Foot & Ankle Surgery)
1301 PLANTATION ISLAND DR S, STE 203
ST AUGUSTINE, FL 32080
Pediatrics
1301 PLANTATION ISLAND DR S, SUITE 404
ST AUGUSTINE, FL 32080
Hearing Instrument Specialist
1301 PLANTATION ISLAND DR S, SUITE 401B
ST AUGUSTINE, FL 32080
Dentist (General Practice)
1301 PLANTATION ISLAND DR S, SUITE 104 B
ST AUGUSTINE, FL 32080
Internal Medicine
1301 PLANTATION ISLAND DR S, SUITE 106A
SAINT AUGUSTINE, FL 32080
Physical Medicine & Rehabilitation (Pain Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402A
ST AUGUSTINE, FL 32080
Internal Medicine (Addiction Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402-B
ST AUGUSTINE, FL 32080

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 Monzon's NPI number?

The NPI number for Raul Monzon is 1508885286. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Raul Monzon located?

Raul Monzon practices at 1301 Plantation Island Dr S Suite 301A, St Augustine, FL 32080. The listed phone number is (904) 460-9555.

What is Raul Monzon's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Raul Monzon enrolled in Medicare?

Yes. Raul Monzon 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 Monzon accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and UnitedHealthcare list Raul Monzon 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 Monzon affiliated with any hospitals?

According to CMS data, Raul Monzon is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Raul Monzon was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.