Rafael Medina, M.D.
NPI 1265416598 · Ophthalmology Physician · Cooperstown, NY
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Medina, M.D. is a Ophthalmology Physician provider in Cooperstown, NY (NPI 1265416598).
Provider details
- NPI number
- 1265416598
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 212374-1 (NY)
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
20 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
951 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 Problem Focused Exam of Visual System92012 | 136 | $85 |
| Imaging of Retina92134 | 113 | $36 |
| Exam of Visual Field With Extended Testing92083 | 101 | $60 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 94 | $92 |
| Established Patient Complete Exam of Visual System92014 | 59 | $119 |
| Imaging of Optic Nerve92133 | 52 | $32 |
| Imaging of Retina |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 118 | 95 |
| Latanoprost | 114 | 34 |
| Moxifloxacin Hclbrand: Moxifloxacin | 110 | 74 |
| Ketorolac Tromethamine | 74 | 54 |
| Timolol Maleate | 66 | 23 |
| Acetazolamide | 54 | 42 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 41 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$35 across 2 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
- 2005-11-30
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Rafael Medina's NPI number?
- Rafael Medina's National Provider Identifier (NPI) is 1265416598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Medina's specialty?
- Rafael Medina is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Medina located?
- Rafael Medina's practice location on file with NPPES is 1 Atwell Rd, Cooperstown, NY 13326-1301.
- What is Rafael Medina's phone number?
- The practice phone number listed in the NPPES registry for Rafael Medina is (607) 547-6960.
- Does Rafael Medina accept Medicare?
- Rafael Medina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Medina's NPI active?
- Yes — Rafael Medina's NPI (1265416598) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.