DR. RAUL VERA-GIMON MD
NPI 1770143752
Internal Medicine - Medical Oncology in Kissimmee, FL

Q: What is Raul Vera-gimon's NPI number?

The NPI number for Raul Vera-gimon is 1770143752. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Q: What is Raul Vera-gimon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Raul Vera-gimon was last updated on February 6, 2024. 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.

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment

737 W OAK ST STE 100, KISSIMMEE, FL 34741(407) 933-2775(407) 933-8549 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2024, Oct 28, 2022, Aug 3, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Raul Vera-gimon Md NPPES

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

DR. RAUL VERA-GIMON MD (NPI 1770143752) is an individual medical oncology provider in Kissimmee, Florida, licensed in Florida (135582) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1770143752

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameDR. RAUL VERA-GIMONCredential: MD

Location Address737 W OAK ST STE 100Kissimmee, FL 34741-4936

Mailing Address737 W Oak St Ste 100Kissimmee, FL 34741-4936 · (407) 933-2775 · Fax (407) 933-8549

Phone(407) 933-2775

Fax(407) 933-8549

Sole ProprietorYes

Medical School CMSOtherGraduated 1976

Enumeration DateJune 20, 2019

Last NPPES UpdateFebruary 6, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1770143752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in FL · 135582

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

737 W OAK ST STE 100, Kissimmee, FL 34741

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raul Vera-gimon Md 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 ID42604233

PECOS Enrollment IDI20220304000816, I20250725000441

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.

Medicare Billing Reassignments

Medicare enrollment records show Raul Vera-gimon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osceola Cancer Center

Same address

Specialist

737 W OAK ST
Kissimmee, FL 34741

Reassigned Medicare billing, Florida enrollment
7 clinicians in this Medicare group

NPI 1629034202 (407) 933-2775

Starling Oncology Fl, LLC

87 mi

Medical Oncology

6499 38TH AVE N, SUITE G1
St Petersburg, FL 33710

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: The Oncology Institute Fl, LLC
30 clinicians in this Medicare group

NPI 1730142373 (727) 381-3761

Trinity Health Of New England Provider Network Organization Inc

1,051 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

177 services81 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

64 services32 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.

55 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 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.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34741 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

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.

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 Raul Vera-gimon's NPI number?

The NPI number for Raul Vera-gimon is 1770143752. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Raul Vera-gimon located?

Raul Vera-gimon practices at 737 W Oak St Ste 100, Kissimmee, FL 34741. The listed phone number is (407) 933-2775.

What is Raul Vera-gimon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Raul Vera-gimon enrolled in Medicare?

Yes. Raul Vera-gimon 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.

Which organizations bill Medicare for Raul Vera-gimon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Vera-gimon reassigns Medicare benefits to 3 organizations: Osceola Cancer Center (Kissimmee, FL), Starling Oncology Fl, LLC (St Petersburg, FL) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Vera-gimon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Vera-gimon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Raul Vera-gimon 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 Raul Vera-gimon affiliated with any hospitals?

According to CMS data, Raul Vera-gimon is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Raul Vera-gimon was last updated on February 6, 2024. 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.