Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912103250 Individual Practitioner Male Practitioner

Dr. Rafael A Pagan Medina , MD

General Practice • Davenport, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Pagan Medina, MD is a certified General Practice practicing in Davenport, FL. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Pagan Medina delivers high-quality medical care to the local community at 130 RIDGE CENTER DR.

Dr. Pagan Medina maintains professional affiliations with Primary Healthcare Associates, Inc, Central Florida Health Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 Ridge Center Dr

Davenport, FL 338376413

Telephone 8662348534
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Davenport, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +0.7 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
26 Specialists

Practicing in Davenport, FL (2490 Statewide)

Telehealth Adoption Rate
26.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
4.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pagan Medina (23 Years) 23 Yrs
Davenport Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
100 36 $91.00 $88.10
G0444 Annual depression screening, 5 to 15 minutes
19 19 $17.96 $17.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
12 12 $131.00 $125.20

Medical Specialties & State Licenses

CMS Verified: 2026-03-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN979

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 15494

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
130371700 (FL)

Hospital & Practice Group Affiliations

Primary Healthcare Associates, Inc

308 W Bass St, Kissimmee, FL 347415001

Phone: 4079331760

Central Florida Health Care Inc

130 Ridge Ctr Dr, Davenport, FL 338376413

Phone: 8662348534

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roseline Blanc , APRN-C

Nurse Practitioner - Family

NPI 1013431873

APRNC

Dr. Ria Sajnani , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013536606

Doctor of Podiatric Medicine

Dr. Syed Qadri , MD

Obstetrics & Gynecology

NPI 1053493171

Doctor of Medicine (M.D.)

NPI 1063443612

Doctor of Medicine (M.D.)

NPI 1083097406

Doctor of Medicine (M.D.)

Ingrid Atiles

Psychologist - Clinical

NPI 1093096596

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location March 18, 2026

Registered at 130 RIDGE CENTER DR, DAVENPORT, FL 338376413 (Tel: 8662348534)

📍
Updated Business Mailing Address March 18, 2026

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: 8662348534)

📍
Updated Practice Location June 02, 2021

Registered at 431 N SEMORAN BLVD, ORLANDO, FL 328073323 (Tel: 4078945054)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

General Practice (License #15494 in PR)

📍
Updated Business Mailing Address January 06, 2021

Registered at 308 W BASS ST, KISSIMMEE, FL 347415001 (Tel: 4076589687)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

General Practice (License #ACN in FL)

📍
Updated Practice Location May 14, 2018

Registered at 920 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741 (Tel: 4079561920)

📍
Updated Business Mailing Address May 14, 2018

Registered at 121 S ORANGE AVE STE 940, ORLANDO, FL 328013234 (Tel: 4076589687)

NPI Profile Active November 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2017

Registered at 920 N JOHN YOUNG PKWY, KISSIMMEE, FL 347414914 (Tel: 4079561920)

📍
Updated Business Mailing Address November 07, 2017

Registered at A4 CALLE VILLA IRIS, URB. LOS FRAILES, GUAYNABO, PR 009693501 (Tel: 7877905158)

👤
Provider Name / Credentials Updated November 07, 2017

Recorded as RAFAEL PAGAN MEDINA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2017

General Practice (License #15494 in PR)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1188 AVE JESUS T PINERO, SAN JUAN, PR 009211721 (Tel: 7877060332)

📍
Updated Business Mailing Address July 08, 2007

Registered at A4 CALLE VILLA IRIS, URB. LOS FRAILES, GUAYNABO, PR 009693501 (Tel: 7877905158)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAFAEL PAGAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #15494 in PR)

🟢
Initial NPI Registration & Enumeration June 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Rafael Pagan Medina. Be the first to share your experience!

Sign in to leave a review for Dr. Rafael Pagan Medina

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1912103250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2007
Last Update: March 18, 2026
Sole Proprietor: No

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8662348534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.