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PEDRO M ALVAREZ MD
NPI 1528035391
Obstetrics & Gynecology in Lakeland, FL

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
1733 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 688-1528(863) 688-8423 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Oct 31, 2022 (2 updates tracked since 2022).

About Pedro M Alvarez Md NPPES

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

PEDRO M ALVAREZ MD (NPI 1528035391) is an individual obstetrics & gynecology provider in Lakeland, Florida, licensed in Florida (ME0058869) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1987).

NPPES Registry Identity

NPI1528035391
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePEDRO M ALVAREZCredential: MD
Location Address1733 LAKELAND HILLS BLVDLakeland, FL 33805
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(863) 688-1528
Fax(863) 688-8423
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1987
Enumeration DateMarch 1, 2006
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1528035391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME0058869
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1733 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Other Identifiers 1

Medicaid053626100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.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

Pedro M 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 ID648257188
PECOS Enrollment IDI20080714000576
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 3

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
16 services16 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
16 services16 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$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.

Other Providers at the Same Location NPPES 16

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

GRACIA M DAMIAN MD
Obstetrics & Gynecology
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 688-1528
PROF. ELIZABETH ANN POLSTON PHD, ARNP, WHNP-BC
Nurse Practitioner
1733 LAKELAND HILLS BLVD, WOMEN'S CARE FLORIDA, LAKELAND OB-GYN
LAKELAND, FL 33805
Polk County (863) 688-1528
EMILY ANNA SPANGLER ARNP
Nurse Practitioner (Women's Health)
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 688-1528
JILL R HENDRY ARNP
Advanced Practice Midwife
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 940-2908
ANNE HOLLOMAN CNM
Advanced Practice Midwife
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 688-1528
LAKELAND OBGYN PA
Obstetrics & Gynecology
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 688-1528
JENNIFER M NIXON MD
Obstetrics & Gynecology
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 688-1528
ROBIN DEANN RYAN APRN
Nurse Practitioner (Women's Health)
1733 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 688-1528

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 Pedro Alvarez's NPI number?

The NPI number for Pedro Alvarez is 1528035391. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Pedro Alvarez located?

Pedro Alvarez practices at 1733 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 688-1528.

What is Pedro Alvarez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Pedro Alvarez enrolled in Medicare?

Yes. Pedro 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 Pedro Alvarez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Pedro 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 Pedro Alvarez was last updated on June 23, 2023. 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.