DR. RAFAEL A PAGAN MEDINA M.D.
NPI 1912103250
General Practice in Davenport, FL

Q: What is Rafael Pagan Medina's NPI number?

The NPI number for Rafael Pagan Medina is 1912103250. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Q: What is Rafael Pagan Medina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment

130 RIDGE CENTER DR, DAVENPORT, FL 33837(866) 234-8534 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2026, Mar 7, 2023, Jun 2, 2021 and 4 more (7 updates tracked since 2017).

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About Dr. Rafael A Pagan Medina M.d. NPPES

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

DR. RAFAEL A PAGAN MEDINA M.D. (NPI 1912103250) is an individual general practice provider in Davenport, Florida, licensed in Florida (ACN979) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912103250

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. RAFAEL A PAGAN MEDINACredential: M.D.

Location Address130 RIDGE CENTER DRDavenport, FL 33837-6413

Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534

Phone(866) 234-8534

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 25, 2007

Last NPPES UpdateMarch 18, 20267 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1912103250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN979✔ Licensed in PR · 15494

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

130 RIDGE CENTER DR, Davenport, FL 33837

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Other Identifiers 1

Medicaid130371700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, UnitedHealthcare.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. Rafael A Pagan Medina 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 ID7618914862

PECOS Enrollment IDI20180103002871

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 Rafael Pagan Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Florida Health Care, Inc.

Same address

Federally Qualified Health Center (FQHC)

130 RIDGE CENTER DR
Davenport, FL 33837

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

NPI 1194495614 (866) 234-8534

Primary Healthcare Associates, Inc

12 mi

Specialist

308 W BASS ST
Kissimmee, FL 34741

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

NPI 1063544963 (407) 933-1760

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 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.

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.

100 services36 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

19 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

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.

Reported Quality Measures

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

62%45 patients3/55-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.

Other Providers at the Same Location NPPES 16

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

CENTRAL FLORIDA HEALTH CARE, INC.

Clinic/Center (Multi-Specialty)