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DR. RAY HERNANDO TANGUNAN M.D.
NPI 1649248345
Family Medicine in Sebring, FL

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
6801 US HIGHWAY 27 N, SUITE B-4, SEBRING, FL 33870(863) 314-8440 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ray Hernando Tangunan M.d. NPPES

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

DR. RAY HERNANDO TANGUNAN M.D. (NPI 1649248345) is an individual family medicine provider in Sebring, Florida, licensed in Florida (ME56385) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Wauchula, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1649248345
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAY HERNANDO TANGUNANCredential: M.D.
Location Address6801 US HIGHWAY 27 N, SUITE B-4Sebring, FL 33870-7840
Mailing Address6801 Us Highway 27 N, Suite B-4Sebring, FL 33870-7840 · (863) 314-8440
Phone(863) 314-8440
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 9, 2006
Last NPPES UpdateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1649248345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME56385
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.
6801 US HIGHWAY 27 N, Sebring, FL 33870
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Other Identifiers 2

Medicaid037566703FL
Other08786FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Dr. Ray Hernando Tangunan 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 ID7810908779
PECOS Enrollment IDI20060508000439
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 13

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
402 services106 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.
363 services148 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.
246 services145 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
114 services114 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
109 services96 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
88 services74 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101300
Location735 S 5th AveWauchula, FL 33873 · Hardee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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.

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.

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.
34%1,242 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.
96%24 patients4/55-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.
86%494 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…
0%494 patients1/55-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%494 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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
11 suppliers36 claims121 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers20 claims37 services$1.02 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$12.64 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.15 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,940 services$0.43 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers12 claims12 services$57.77 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.

TONY Y.T. CHEN M.D.
Ophthalmology
6801 US HIGHWAY 27 N, SUITE D-1
SEBRING, FL 33870
Highlands County (863) 385-3535
DR. GUILLERMO JAIME ARIAS-HOWARD M.D.
Internal Medicine (Critical Care Medicine)
6801 US HIGHWAY 27 N, SUITE D-4
SEBRING, FL 33870
Highlands County (863) 382-8877
BRONISLAW PARTYKA MD
Emergency Medicine
6801 US HIGHWAY 27 N, STE C4
SEBRING, FL 33870
Highlands County (863) 451-5794
HEARTLAND PHARMACY INC.
Pharmacy (Specialty Pharmacy)
6801 US HIGHWAY 27 N, E-7
SEBRING, FL 33870
Highlands County (863) 385-2866
HEARTLAND PHARMACY INC.
Pharmacy (Home Infusion Therapy Pharmacy)
6801 US HIGHWAY 27 N, E-7
SEBRING, FL 33870
Highlands County (863) 385-2866
DR. DIPAKKUMAR M UPADHYAYA MD
Obstetrics & Gynecology
6801 US HIGHWAY 27 N, SUITE A1
SEBRING, FL 33870
Highlands County (863) 382-1144
MRS. TERRY ELIZABETH JACKSON LMHC
Counselor (Mental Health)
6801 US HIGHWAY 27 N, SUITE A2
SEBRING, FL 33870
Highlands County (863) 382-0306
SOHAM PULMONARY GROUP PA
Specialist
6801 US HIGHWAY 27 N, SUITE D 4
SEBRING, FL 33870
Highlands County (863) 382-8877

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 Ray Tangunan's NPI number?

The NPI number for Ray Tangunan is 1649248345. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Ray Tangunan located?

Ray Tangunan practices at 6801 Us Highway 27 N Suite B-4, Sebring, FL 33870. The listed phone number is (863) 314-8440.

What is Ray Tangunan's specialty?

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

Is Ray Tangunan enrolled in Medicare?

Yes. Ray Tangunan 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 Ray Tangunan accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Ray Tangunan 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 Ray Tangunan affiliated with any hospitals?

According to CMS data, Ray Tangunan is affiliated with Adventhealth Wauchula.

When was this NPI record last updated?

The NPPES record for Ray Tangunan was last updated on November 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.