Doctor profile · Federal record

Dr. Lian Fraga Alfonso, MD

Internal Medicine Physician (CMS: Internal Medicine) · Cape Coral, FL

  • NPI 1184186181
  • Accepts Medicare
  • 26 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1682 Ne Pine Island RD
Cape Coral, FL 339091756
(239) 424-1600
fax (239) 343-1640
Mailing address
Po Box 2147
Fort Myers, FL 339022147

Credentials & registration

NPPES · NUCC
NPI registered
April 2019 — 7 yrs on file
Profile last updated
September 1, 2022
Year of graduation
2000 — 26 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Florida #ME152069
Medicaid
FL #115158500

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184186181. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,006
Distinct HCPCS
10
Medicare allowed
$108,618
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 466 303 $130
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 172 172 $130
99213 Established patient office or other outpatient visit, 20-29 minutes 112 95 $91
96372 Injection of drug or substance under skin or into muscle 53 19 $14
G0008 Administration of influenza virus vaccine 44 42 $32
90662 Influenza vaccine split virus, preservative free 41 39 $69
99204 New patient office or other outpatient visit, 45-59 minutes 34 34 $171
81003 Automated urinalysis test 25 21 $2
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 17 17 $50
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 15 15 $15

In context: peer comparison

Among 24 peers in Cape Coral Internal Medicine Physician, average services per provider: 171. This provider delivers 5.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,015
Patients
1,088
Total drug cost
$44,089
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 356 127 $4,964
Amlodipine Besylate Generic 332 117 $2,657
Levothyroxine Sodium Generic 314 100 $5,928
Rosuvastatin Calcium Generic 277 107 $4,866
Lisinopril Generic 224 83 $2,518
Losartan Potassium Generic 218 74 $3,470
Gabapentin Generic 187 54 $2,701
Omeprazole Generic 156 52 $2,184
Fluticasone Propionate Generic 148 84 $3,914
Metformin Hcl Generic 143 52 $1,633

Frequently asked questions

Auto-generated from federal data
What is Dr. Lian Fraga Alfonso's medical specialty?
Dr. Lian Fraga Alfonso practices Internal Medicine Physician in Cape Coral, FL.
Where does Dr. Lian Fraga Alfonso practice?
Dr. Lian Fraga Alfonso practices at 1682 Ne Pine Island RD, Cape Coral, FL 339091756. Office phone: 2394241600.
What is Dr. Lian Fraga Alfonso's NPI?
Dr. Lian Fraga Alfonso's National Provider Identifier (NPI) is 1184186181, issued by NPPES.
Does Dr. Lian Fraga Alfonso accept Medicare assignment?
Yes. Dr. Lian Fraga Alfonso accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lian Fraga Alfonso commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.