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RALPH A. ALVARADO M.D.
NPI 1881640621
Internal Medicine in Winchester, KY

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
21.67/100
CMS Quality Rating
25 E HICKMAN ST, WINCHESTER, KY 40391(859) 556-0620(859) 744-4997 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ralph A. Alvarado M.d. NPPES

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

RALPH A. ALVARADO M.D. (NPI 1881640621) is an individual internal medicine provider in Winchester, Kentucky, licensed in Kentucky (31268) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of Loma Linda University School Of Medicine (1994).

NPPES Registry Identity

NPI1881640621
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRALPH A. ALVARADOCredential: M.D.
Location Address25 E HICKMAN STWinchester, KY 40391-2448
Mailing Address25 E Hickman StWinchester, KY 40391-2448 · (859) 556-0620 · Fax (859) 744-4997
Phone(859) 556-0620
Fax(859) 744-4997
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1994
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1881640621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 31268
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 31268 (KY)
25 E HICKMAN ST, Winchester, KY 40391
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Other Identifiers 2

Medicaid65906489KY
Medicaid64312689KY

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

Ralph A. Alvarado 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 ID1153216684
PECOS Enrollment IDI20050425000529
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 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.
1,355 services192 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
94 services60 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.
83 services81 patients

Hospital Affiliations CMS Care Compare

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

21.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost72.25

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.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers12 claims24 services$7.98 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
1 supplier18 claims270 services$6.06 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers20 claims340 services$2.62 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers16 claims32 services$61.31 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers18 claims102 services$25.01 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims482 services$0.92 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 2

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

ROUMANOS REHABILITATION, PA
Physical Medicine & Rehabilitation
25 E HICKMAN ST
WINCHESTER, KY 40391
Clark County (859) 901-0012
ALVARADO MEDICAL SERVICES PLLC
Internal Medicine
25 E HICKMAN ST
WINCHESTER, KY 40391
Clark County (859) 744-4997

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 Ralph Alvarado's NPI number?

The NPI number for Ralph Alvarado is 1881640621. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Ralph Alvarado located?

Ralph Alvarado practices at 25 E Hickman St, Winchester, KY 40391. The listed phone number is (859) 556-0620.

What is Ralph Alvarado's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ralph Alvarado enrolled in Medicare?

Yes. Ralph Alvarado 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.

Is Ralph Alvarado affiliated with any hospitals?

According to CMS data, Ralph Alvarado is affiliated with Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Alvarado was last updated on June 20, 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.