2026 NPPES data General Practice Physician NPI 1962098749 MD
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RAUL VARGAS RIVERA, MD

General Practice Physician in WINTER HAVEN, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 147 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$80.53
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAUL VARGAS RIVERA, MD filed 2,376 Medicare Part D claims in 2023 as a General Practice Physician in WINTER HAVEN, Florida, prescribing 89% generic.

2K
Part D claims, 2023
89%
generic prescribing
$80.53
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

RAUL VARGAS RIVERA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,376 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

RAUL VARGAS RIVERA, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about RAUL VARGAS RIVERA, MD?

Quality data not reported

NPI registry status

Active

Issued 12/16/2020

NPI 1962098749

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

2,376 17% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Florida

How General Practice Physician compares to other specialties among Florida providers

Florida providers

General Practice Physician share within Florida

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RAUL VARGAS RIVERA, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 217 E CENTRAL AVE, WINTER HAVEN, FL, 33880, with a listed phone of (407) 315-3637. NPI 1962098749 was issued on 12/16/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VARGAS RIVERA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,376 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $141K in drug spend, split 11% brand-name and 89% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

217 E CENTRAL AVE
WINTER HAVEN, FL 33880

Provider Details

NPI 1962098749
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 12/16/2020

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for RAUL VARGAS RIVERA, MD. Source: openpaymentsdata.cms.gov.

Total received

$81

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to RAUL VARGAS RIVERA, MD. To verify RAUL VARGAS RIVERA, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAUL VARGAS RIVERA, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 2,376 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,376
Total Claims
$141K
Total Drug Cost
147
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,739
Total Day Supply
136,656
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$102K
Generic Drug Cost
$37K
Antibiotic Claims
139

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
1.48
Gender Split
49% female / 51% male
Age Distribution
<65: 40, 65-74: 72, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What RAUL VARGAS RIVERA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Rosuvastatin Calcium
124
Losartan Potassium
109
Metformin Hcl
103
Levothyroxine Sodium
102
Valsartan
89
Glimepiride
69
Levocetirizine Dihydrochloride
64
Pantoprazole Sodium
61
Fenofibrate
60
Chlorthalidone
59

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How RAUL VARGAS RIVERA, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

RAUL VARGAS RIVERA, MD's 2,376 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as VARGAS RIVERA.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAUL VARGAS RIVERA, MD's specialty?
RAUL VARGAS RIVERA, MD specializes in General Practice Physician and practices in WINTER HAVEN, Florida. Credentials: MD.
How much does RAUL VARGAS RIVERA, MD prescribe under Medicare Part D?
In 2023, RAUL VARGAS RIVERA, MD wrote 2,376 Medicare Part D claims totaling $141K in drug costs for 147 beneficiaries.
Where is RAUL VARGAS RIVERA, MD located?
RAUL VARGAS RIVERA, MD is located at 217 E CENTRAL AVE, WINTER HAVEN, FL, 33880. Phone: (407) 315-3637.
What is RAUL VARGAS RIVERA, MD's NPI number?
RAUL VARGAS RIVERA, MD's National Provider Identifier (NPI) is 1962098749, issued on 12/16/2020.
Does RAUL VARGAS RIVERA, MD prescribe more brand-name or generic drugs?
RAUL VARGAS RIVERA, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $102K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does RAUL VARGAS RIVERA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAUL VARGAS RIVERA, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Losartan Potassium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAUL VARGAS RIVERA, MD accept Medicare?
RAUL VARGAS RIVERA, MD appears in CMS Medicare data with 2,376 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAUL VARGAS RIVERA, MD's credentials?
RAUL VARGAS RIVERA, MD's NPI is 1962098749 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology