DR. RAUL DIAZ M.D.
NPI 1902010945
Internal Medicine in Ocala, FL

Q: What is Raul Diaz's NPI number?

The NPI number for Raul Diaz is 1902010945. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Q: What is Raul Diaz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raul Diaz was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 09, 2007PECOS Enrolled

93.02/100

CMS Quality Rating

3304 SW 34TH CIR, SUITE 101, OCALA, FL 34474(352) 401-7575(352) 401-7577 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Raul Diaz M.d. NPPES

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

DR. RAUL DIAZ M.D. (NPI 1902010945) is an individual internal medicine provider in Ocala, Florida, licensed in Puerto Rico (16774) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hendry Regional Medical Center, and is a graduate of Ponce School Of Medicine (2004).

NPPES Registry Identity

NPI1902010945

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAUL DIAZCredential: M.D.

Location Address3304 SW 34TH CIR, SUITE 101Ocala, FL 34474-3358

Mailing Address3304 Sw 34th Cir, Suite 101Ocala, FL 34474-3358 · (352) 401-7575 · Fax (352) 401-7577

Phone(352) 401-7575

Fax(352) 401-7577

Sole ProprietorYes

Medical School CMSPonce School Of MedicineGraduated 2004

Enumeration DateMay 9, 2007

Last NPPES UpdateSeptember 2, 2016

✔ NPI 1902010945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PR · 16774

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.

3304 SW 34TH CIR, Ocala, FL 34474

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 (PECOS)

Dr. Raul Diaz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072688530

PECOS Enrollment IDI20160628002496

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 12

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.

192 services128 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

154 services120 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

127 services99 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.

123 services98 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

96 services75 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.

70 services54 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

65 services51 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

48 services38 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

36 services27 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

32 services28 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

32 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 patients

Hospital Affiliations CMS Care Compare

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

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL

OwnershipVoluntary non-profit - Other

CMS Certification Number101309

Location524 W Sagamore AveClewiston, FL 33440 · Hendry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 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

$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.

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.

93.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

90.58

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%99 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

63%24 patients3/55-star benchmark: 100%

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%128 patients

Breast Cancer Screening

54%310 patients3/55-star benchmark: 93%

Cervical Cancer Screening

52%394 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

0%835 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

70%710 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

10%250 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

28%250 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%3,948 patients4/55-star benchmark: 100%

e-Prescribing

97%2,224 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

93%427 patients4/55-star benchmark: 100%

Functional Status Assessments for Heart Failure

0%26 patients

HIV Screening

0%999 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

89%1,341 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

5%1,175 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%1,420 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 89% · 1,241 patients

Patients screened: 90% · 1,241 patients

95%151 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

98%747 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%436 patients4/55-star benchmark: 91%

Support Electronic Referral Loops By Sending Health Information

88%349 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

11 suppliers25 claims51 services$5.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims12 services$1.06 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 6

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

MICHAEL K RILEY M D P A

Specialist

3304 SW 34TH CIR, SUITE 104
OCALA, FL 34474

Marion County (352) 369-0080

STEPHANIE FERNICE INGRAM M.D,

Internal Medicine (Rheumatology)

3304 SW 34TH CIR, SUITE 103
OCALA, FL 34474

Marion County (352) 291-0245

MRS. TRUDY MARLENE SIMPSON ARNP

Nurse Practitioner

3304 SW 34TH CIR, SUITE 103
OCALA, FL 34474

Marion County (352) 291-0245

JENNY CHEN MD

Family Medicine (Adult Medicine)

3304 SW 34TH CIR, SUITE 101
OCALA, FL 34474

Marion County (352) 401-7575

SOUTHEASTERN INTEGRATED MEDICAL PL

Radiology (Diagnostic Radiology)

3304 SW 34TH CIR
OCALA, FL 34474

Marion County (352) 732-4438

THOMAS EDWARD LAFFERTY M.D.

Specialist

3304 SW 34TH CIR, SUITE 103
OCALA, FL 34474

Marion County (352) 291-0245

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 Diaz's NPI number?

The NPI number for Raul Diaz is 1902010945. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Raul Diaz located?

Raul Diaz practices at 3304 SW 34th Cir Suite 101, Ocala, FL 34474. The listed phone number is (352) 401-7575.

What is Raul Diaz's specialty?

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

Is Raul Diaz enrolled in Medicare?

Yes. Raul Diaz is registered in the Medicare PECOS enrollment system.

What insurance does Raul Diaz accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Raul Diaz 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 Diaz affiliated with any hospitals?

According to CMS data, Raul Diaz is affiliated with Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Raul Diaz was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.