Dr. Raul Javier Vargas Rivera , MD
General Practice โข Winter Haven, FL
217 E Central Ave
Winter Haven, FL 338806312
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Raul Vargas Rivera is listed in NPPES under General Practice.
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NPI assigned on December 16, 2020; this date does not establish years in practice.
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Published CMS data list 175 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 57 service units.
- 96136 โ Administration of psychological or neuropsychological test: 48 service units.
- G3002 โ Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha: 27 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,216 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Rosuvastatin Calcium โ 143 prescription fills, including refills.
- Metformin Hcl โ 109 prescription fills, including refills.
- Valsartan โ 109 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 59 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 81 in 2023 to 175 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
217 E Central Ave
Winter Haven, FL 338806312
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
29 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $14,686 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $10,235 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
4,982 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$87,053 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $191.07 across 9 records.
By nature of payment
- Food and Beverage: $191.07 across 9 records.
Reporting-company totals (3 largest of 5)
- SHIELD THERAPEUTICS INC: $82.97 across 4 records.
- Pfizer Inc.: $37.53 across 2 records.
- Takeda Pharmaceuticals U.S.A., Inc.: $25.82 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Vargas Rivera has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Vargas Rivera as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Winter Haven and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Too few clinicians listed under General Practice in Winter Haven have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Too few clinicians listed under General Practice in Winter Haven have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Too few clinicians listed under General Practice in Winter Haven have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under General Practice in Winter Haven, FL (2024, 14 clinicians with data). Median for this group: 5,936. Middle half: 2,244 to 10,895.
Close to the middle for clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under General Practice in Winter Haven, FL (2024, 14 clinicians with data). Median for this group: $300,261. Middle half: $105,368 to $767,579.
A lower Part D drug cost than 60% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
21 active clinicians are listed under General Practice with a practice address in Winter Haven, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Winter Haven
23.8% of these 21 clinicians have the CMS telehealth indicator.
61.9% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 116% from 81 in 2023 to 175 in 2024.
- 2023: 81
- 2024: 175
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Medicare-allowed amount
Medicare-allowed amount increased 68% from $8,733 in 2023 to $14,686 in 2024.
- 2023: $8,733
- 2024: $14,686
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Paid by Medicare
Paid by Medicare increased 63% from $6,263 in 2023 to $10,235 in 2024.
- 2023: $6,263
- 2024: $10,235
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 144% from 908 in 2022 to 2,216 in 2024.
- 2022: 908
- 2023: 1,918
- 2024: 2,216
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30-day fills
30-day fills increased 188% from 1,730 in 2022 to 4,982 in 2024.
- 2022: 1,730
- 2023: 3,823
- 2024: 4,982
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Part D drug cost
Part D drug cost increased 271% from $23,445 in 2022 to $87,053 in 2024.
- 2022: $23,445
- 2023: $56,069
- 2024: $87,053
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $364.08 in 2021 to $191.07 in 2025.
- 2021: $364.08
- 2022: $111.37
- 2023: $54.65
- 2024: $80.53
- 2025: $191.07
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $191.07.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
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VPRIV | General | $25.82 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $25.16 |
| SHIELD THERAPEUTICS INC |
Food and Beverage
In-kind items and services
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ACCRUFER | General | $24.88 |
| SHIELD THERAPEUTICS INC |
Food and Beverage
In-kind items and services
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ACCRUFER | General | $22.81 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $19.59 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $19.30 |
| SHIELD THERAPEUTICS INC |
Food and Beverage
In-kind items and services
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ACCRUFER | General | $19.24 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $18.23 |
| SHIELD THERAPEUTICS INC |
Food and Beverage
In-kind items and services
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ACCRUFER | General | $16.04 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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57 | 23 | $300.88 | $121.27 |
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96136
Administration of psychological or neuropsychological test, first 30 minutes
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48 | 19 | $50.00 | $38.85 |
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G3002
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha
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27 | 15 | $100.00 | $80.09 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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15 | 15 | $375.00 | $216.24 |
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G0444
Annual depression screening, 5 to 15 minutes
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15 | 15 | $50.00 | $17.94 |
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G0442
Annual alcohol misuse screening, 5 to 15 minutes
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13 | 13 | $50.00 | $17.96 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 143 | 11,430 | $2,220.65 | 61 |
| Metformin Hcl | Metformin Hcl | 109 | 8,190 | $589.77 | 40 |
| Valsartan | Valsartan | 109 | 7,305 | $5,765.44 | 31 |
| Fenofibrate | Fenofibrate | 104 | 7,740 | $1,967.16 | 43 |
| Losartan Potassium | Losartan Potassium | 98 | 7,560 | $1,094.92 | 35 |
| Levothyroxine Sodium | Levothyroxine Sodium | 96 | 6,600 | $972.25 | 29 |
| Atorvastatin Calcium | Atorvastatin Calcium | 77 | 6,450 | $1,066.03 | 35 |
| Lisinopril | Lisinopril | 70 | 5,040 | $450.02 | 30 |
| Pantoprazole Sodium | Pantoprazole Sodium | 62 | 4,950 | $811.72 | 24 |
| Glimepiride | Glimepiride | 61 | 4,335 | $875.63 | 23 |
| Trazodone Hcl | Trazodone Hcl | 60 | 4,140 | $643.52 | 24 |
| Chlorthalidone | Chlorthalidone | 57 | 4,503 | $642.40 | 19 |
| Meloxicam | Meloxicam | 48 | 2,607 | $226.51 | 20 |
| Ibuprofen | Ibuprofen | 48 | 1,455 | $313.38 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 44 | 2,805 | $164.99 | 14 |
| Sertraline Hcl | Sertraline Hcl | 42 | 2,400 | $285.94 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 41 | 3,510 | $240.04 | 15 |
| Metoprolol Succinate | Metoprolol Succinate | 40 | 2,640 | $358.23 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 40 | 3,480 | $529.82 | 14 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 39 | 2,430 | $543.25 | 19 |
| Famotidine | Famotidine | 39 | 3,030 | $534.70 | 18 |
| Montelukast Sodium | Montelukast Sodium | 35 | 2,910 | $684.32 | 14 |
| Mirtazapine | Mirtazapine | 35 | 1,950 | $692.85 | 17 |
| Amlodipine Besylate | Amlodipine Besylate | 34 | 2,880 | $132.49 | 14 |
| Azithromycin | Azithromycin | 32 | 156 | $216.85 | 23 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-09-13NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20210212001883
FL
3779998315
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
General Practice (license number reported to NPPES: MT MED-PHYS-REG-0002152)
Registered at 217 E CENTRAL AVE, WINTER HAVEN, FL 338806312 (Tel: 4073153637)
General Practice (license number reported to NPPES: FL ACN1361)
General Practice (license number reported to NPPES: MT MED-PHYS-REG-0002152)
NPI status registered as active in NPPES database
Registered at 304 E PINE ST # 1018, LAKELAND, FL 338014969 (Tel: 4073153637)
Registered at PO BOX 532, LAKE ALFRED, FL 338500532 (Tel: 4073153637)
Recorded as RAUL VARGAS RIVERA, MD
General Practice (license number reported to NPPES: OK MD37684)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Winter Haven
- Dr. Juan Caparros Gonzalez, MD
- Dr. Ramon Acosta, MD
- Dr. Nicole Domenech, MD
- Dr. Angela Colon Santiago, MD
- Dr. Fouad Moursi, MD
- Dr. Hector Soto-Adames, MD
Mailing Address
Po Box 532
Lake Alfred, FL 338500532
Phone: 4073153637