DR. RENATO A ALFONSO (M.D.) – Specialist, NPI 1184619017

DR. RENATO A ALFONSO (M.D.) is a healthcare provider. based in Palm coast, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME69077 (FL). The NPI Number for DR. RENATO A ALFONSO (M.D.) is 1184619017

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENATO A ALFONSO (M.D.)
NPI
1184619017
Phone
(386) 439-9777
Address
84 PINNACLES DR
Enumeration Date
16 September 2005
Last Update Date
29 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
3870569775
Group Practice PAC ID
4981986288
Professional Enrollment ID
I20100223000817
Address ID
FL327711013SA1200XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. RENATO A ALFONSO (M.D.)

  • 84 PINNACLES DR

    SUITE #200

    PALM COAST, FL 321642324

    Phone: (386) 439-9777

    Fax: (386) 206-0015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 228 Open Payments records for all available years, with a total value of $3,734.

Total Amount is formed as General ($3,734) + Research ($0) + Ownership ($0) = $3,734.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($702).

Total Amount

$3,734

General + Research + Ownership

Payments

228

Total payment records

General Amount

$3,734

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100223000817IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3,1691,484$0
99213Established patient office or other outpatient visit, 20-29 minutes2,2241,541$0
99497Advance care planning, first 30 minutes1,4991,481$0
G0444Annual depression screening, 5 to 15 minutes1,4351,435$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1,4071,407$0
View full utilization report →

Insurance plans in this area (ZIP 32164)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981986288View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticeFL
Hand Surgery, Orthopedic SurgeryCA
Occupational Therapist In Private PracticeGA
-FL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
Hand Surgery, Orthopedic Surgery, Hand SurgeryMA
Physician AssistantFL

Reviews

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Frequently asked questions

What NPI should I save for DR. RENATO A ALFONSO (M.D.)?
Save NPI 1184619017 if you need a stable reference for DR. RENATO A ALFONSO (M.D.).
Is DR. RENATO A ALFONSO (M.D.)'s NPI currently valid?
The extract we use shows DR. RENATO A ALFONSO (M.D.) as active.
What field does DR. RENATO A ALFONSO (M.D.) work in?
You can think of DR. RENATO A ALFONSO (M.D.) as practicing within Other Service Providers. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RENATO A ALFONSO (M.D.)?
The snapshot lists Palm Coast, Florida for DR. RENATO A ALFONSO (M.D.); download NPPES for the complete set.
Is DR. RENATO A ALFONSO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1184619017. Always confirm identity and privileges with the practice and licensing boards.

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