DR. RONALD POBRE VICENCIO M.D.
NPI 1689626723
Family Medicine in Tampa, FL

Q: What is Ronald Vicencio's NPI number?

The NPI number for Ronald Vicencio is 1689626723. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Ronald Vicencio's specialty?

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

Q: Is Ronald Vicencio enrolled in Medicare?

No. Ronald Vicencio has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ronald Vicencio was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since May 17, 2006Opted out of Medicare · through Mar 26, 2028

10910 SHELDON RD, TAMPA, FL 33626(813) 544-1465(813) 537-8848 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Jul 29, 2022, Jun 14, 2021 (3 updates tracked since 2021).

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About Dr. Ronald Pobre Vicencio M.d. NPPES

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

DR. RONALD POBRE VICENCIO M.D. (NPI 1689626723) is an individual family medicine provider in Tampa, Florida, licensed in Florida (ME67267) and active in the NPI registry since May 2006. He has opted out of Medicare through March 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689626723

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RONALD POBRE VICENCIOCredential: M.D.

Location Address10910 SHELDON RDTampa, FL 33626-4701

Mailing Address10910 Sheldon RdTampa, FL 33626-4701 · (813) 544-1465 · Fax (813) 537-8848

Phone(813) 544-1465

Fax(813) 537-8848

Sole ProprietorYes

Enumeration DateMay 17, 2006

Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1689626723 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 · ME67267

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.

10910 SHELDON RD, Tampa, FL 33626

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Other Identifiers 2

Medicaid256560901FL

Other080115574FL · Railroad Medicare Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ronald Pobre Vicencio M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2020 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2020

Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 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.

Referred Medical Equipment & Supplies CMS DME claims

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

2 suppliers12 claims45 services$5.43 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 5

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

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