REGINO J. FLORES M.D.
NPI 1588640403
Family Medicine in Altoona, PA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602(814) 946-1655(814) 949-7616 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Regino J. Flores M.d. NPPES

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

REGINO J. FLORES M.D. (NPI 1588640403) is an individual family medicine provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD049699L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1588640403
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameREGINO J. FLORESCredential: M.D.
Location Address1414 9TH AVE, STATION MEDICAL CENTERAltoona, PA 16602-2454
Mailing Address1414 9th Ave, Station Medical CenterAltoona, PA 16602-2454 · (814) 946-1655 · Fax (814) 949-7616
Fax(814) 949-7616
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 22, 2005
Last NPPES UpdateApril 19, 2012
NPI 1588640403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD049699L
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.
1414 9TH AVE, Altoona, PA 16602

Other Identifiers 3

Medicare UPINF61194PA
Medicaid0014172830001PA
Medicare PIN054950PA

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

Regino J. Flores 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 ID8224222732
PECOS Enrollment IDI20101028001125
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 5

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.
436 services182 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
344 services153 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services33 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Penn Highlands Tyrone

Critical Access Hospitals · Tyrone, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391307
Location187 Hospital DriveTyrone, PA 16686 · Blair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%228 patients3/55-star benchmark: 100%
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 2

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
7 suppliers20 claims39 services$5.40 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$18.43 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 20

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

Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Urology
1414 9TH AVE
ALTOONA, PA 16602
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Physician Assistant
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Podiatrist (Foot & Ankle Surgery)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1414 9TH AVE
ALTOONA, PA 16602

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 Regino Flores's NPI number?

The NPI number for Regino Flores is 1588640403. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Regino Flores located?

Regino Flores practices at 1414 9th Ave Station Medical Center, Altoona, PA 16602. The listed phone number is (814) 946-1655.

What is Regino Flores's specialty?

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

Is Regino Flores enrolled in Medicare?

Yes. Regino Flores 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.

Is Regino Flores affiliated with any hospitals?

According to CMS data, Regino Flores is affiliated with Upmc Altoona and Penn Highlands Tyrone.

When was this NPI record last updated?

The NPPES record for Regino Flores was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.