Rafael Ortiz, MD
NPI 1225186067 · Ophthalmology Physician · Miami, FL
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Ortiz, MD is a Ophthalmology Physician provider in Miami, FL (NPI 1225186067).
Provider details
- NPI number
- 1225186067
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME63943 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,493 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 678 | $142 |
| Imaging of Retina92134 | 640 | $41 |
| Photography of the Retina92250 | 600 | $40 |
| Exam of the Internal Drainage System of Eye92020 | 455 | $29 |
| Exam of Visual Field With Extended Testing92083 | 353 | $68 |
| 2d Ultrasound Scan of Eye Tissue and Structures76512 | 224 | $92 |
| Extended Exam of the Back Part of the Eye With Retinal Drawing |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 197 | 50 |
| Azelastine Hcl | 159 | 45 |
| Latanoprostene Bunodbrand: Vyzulta | 115 | 21 |
| Brimonidine Tartrate | 95 | 22 |
| Netarsudil Mesylatebrand: Rhopressa | 93 | 19 |
| Dorzolamide Hcl | 92 | 21 |
| Ketorolac Tromethamine | 81 | 34 |
| Cyclosporine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$166 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2008-07-10
Frequently asked questions
- What is Rafael Ortiz's NPI number?
- Rafael Ortiz's National Provider Identifier (NPI) is 1225186067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Ortiz's specialty?
- Rafael Ortiz is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Ortiz located?
- Rafael Ortiz's practice location on file with NPPES is 11760 Sw 40th St, Miami, FL 33175-3582.
- What is Rafael Ortiz's phone number?
- The practice phone number listed in the NPPES registry for Rafael Ortiz is (305) 220-2626.
- Does Rafael Ortiz accept Medicare?
- Rafael Ortiz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Ortiz's NPI active?
- Yes — Rafael Ortiz's NPI (1225186067) is active in the NPPES registry as of the last update on 2008-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.