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ALLISON RICE M.D.
NPI 1730610809
Surgery in Loxahatchee, FL

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
12955 PALMS WEST DR STE 201, LOXAHATCHEE, FL 33470(908) 415-2249 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 5, 2023, Jul 30, 2022, Mar 21, 2017 (3 updates tracked since 2017).

About Allison Rice M.d. NPPES

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

ALLISON RICE M.D. (NPI 1730610809) is an individual surgery provider in Loxahatchee, Florida, licensed in Florida (ME164547) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730610809
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameALLISON RICECredential: M.D.
Location Address12955 PALMS WEST DR STE 201Loxahatchee, FL 33470-9217
Mailing Address3605 S Ocean Blvd Apt B115Palm Beach, FL 33480-5817 · (908) 415-2249
Phone(908) 415-2249
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 5, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1730610809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME164547✔ Licensed in NJ · 25MA11421800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12955 PALMS WEST DR STE 201, Loxahatchee, FL 33470
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Secondary Practice Locations 2

Location 120 Prospect Ave Ste 408Hackensack, NJ 07601-1941 · Phone (551) 996-2625
Location 25301 S Congress Ave, 3 SouthAtlantis, FL 33462-1149 · Phone (561) 548-1711 · Fax (561) 548-1743

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed 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

Allison Rice 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 ID7719361021
PECOS Enrollment IDI20230926003809
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 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 Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 Allison Rice's NPI number?

The NPI number for Allison Rice is 1730610809. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Allison Rice located?

Allison Rice practices at 12955 Palms West Dr Ste 201, Loxahatchee, FL 33470. The listed phone number is (908) 415-2249.

What is Allison Rice's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Allison Rice enrolled in Medicare?

Yes. Allison Rice 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 Allison Rice accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Allison Rice 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 Allison Rice affiliated with any hospitals?

According to CMS data, Allison Rice is affiliated with Hca Florida Jfk Hospital and Hca Florida Palms West Hospital.

When was this NPI record last updated?

The NPPES record for Allison Rice was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.