DR. REY FRANCISCO ARCENAS M.D.
NPI 1730407511
Internal Medicine - Cardiovascular Disease in Sebring, FL

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
4638 SUN N LAKE BLVD, SEBRING, FL 33872(863) 386-0055(863) 386-0118 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017, Sep 21, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Rey Francisco Arcenas M.d. NPPES

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

DR. REY FRANCISCO ARCENAS M.D. (NPI 1730407511) is an individual cardiovascular disease provider in Sebring, Florida, licensed in Florida (ME131675) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730407511
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. REY FRANCISCO ARCENASCredential: M.D.
Location Address4638 SUN N LAKE BLVDSebring, FL 33872-2176
Mailing Address4638 Sun N Lake BlvdSebring, FL 33872-2176 · (863) 386-0055 · Fax (863) 386-0118
Fax(863) 386-0118
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 4, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1730407511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in FL · ME131675 Licensed in OH · 35.121345
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01071480A (IN)
4638 SUN N LAKE BLVD, Sebring, FL 33872

Other Identifiers 2

Medicaid201090760IN
Medicaid0119430OH

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

Dr. Rey Francisco Arcenas 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 ID1153576491
PECOS Enrollment IDI20170613000184
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 29

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.
815 services543 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
652 services514 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
339 services336 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
325 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
297 services174 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
277 services267 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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.

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier21 claims21 services$2,082.13 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 12

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

Internal Medicine (Interventional Cardiology)
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Nurse Practitioner (Acute Care)
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine (Cardiovascular Disease)
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine (Cardiovascular Disease)
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Nurse Practitioner (Family)
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine (Cardiovascular Disease)
4638 SUN N LAKE BLVD
SEBRING, FL 33872
Nurse Practitioner (Family)
4638 SUN N LAKE BLVD
SEBRING, FL 33872

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 Rey Arcenas's NPI number?

The NPI number for Rey Arcenas is 1730407511. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Rey Arcenas located?

Rey Arcenas practices at 4638 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 386-0055.

What is Rey Arcenas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rey Arcenas enrolled in Medicare?

Yes. Rey Arcenas 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 Rey Arcenas accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Rey Arcenas 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 Rey Arcenas affiliated with any hospitals?

According to CMS data, Rey Arcenas is affiliated with Hca Florida Highlands Hospital and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Rey Arcenas was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.