Rafael Rodriguez - Lopez, MD
NPI 1275530743 · Gastroenterology Physician · San Juan, PR
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Rodriguez - Lopez, MD is a Gastroenterology Physician provider in San Juan, PR (NPI 1275530743).
Provider details
- NPI number
- 1275530743
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7767 (PR)
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
126 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 62 | $89 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 29 | $163 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 24 | $57 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 11 | $308 |
Typical Medicare-allowed amounts for these services range $57–$308 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| 0.9 % Sodium Chloridebrand: Sodium Chloride | 117 | 116 |
| Sodium, Potassium,mag Sulfatesbrand: Suprep | 98 | 94 |
| Midazolam Hcl/Pfbrand: Midazolam Hcl | 80 | 79 |
| Midazolam Hcl | 77 | 77 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 64 | 64 |
| Fentanyl Citrate/Pfbrand: Fentanyl Citrate | 48 | 47 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$6,215 across 15 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
- 2005-06-30
- Last updated
- 2016-09-09
Frequently asked questions
- What is Rafael Rodriguez - Lopez's NPI number?
- Rafael Rodriguez - Lopez's National Provider Identifier (NPI) is 1275530743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Rodriguez - Lopez's specialty?
- Rafael Rodriguez - Lopez is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Rodriguez - Lopez located?
- Rafael Rodriguez - Lopez's practice location on file with NPPES is 735 Ave Ponce De Leon, San Juan, PR 00918.
- What is Rafael Rodriguez - Lopez's phone number?
- The practice phone number listed in the NPPES registry for Rafael Rodriguez - Lopez is (787) 763-1025.
- Does Rafael Rodriguez - Lopez accept Medicare?
- Rafael Rodriguez - Lopez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Rodriguez - Lopez's NPI active?
- Yes — Rafael Rodriguez - Lopez's NPI (1275530743) is active in the NPPES registry as of the last update on 2016-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.