Rafael Tirado-Montijo, M.D.
NPI 1285947127 · Gastroenterology Physician · Manati, PR
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Tirado-Montijo, M.D. is a Gastroenterology Physician provider in Manati, PR (NPI 1285947127).
Provider details
- NPI number
- 1285947127
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20618 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 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
138 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 | 59 | $87 |
| 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 | 32 | $56 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 19 | $105 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 14 | $365 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 14 | $440 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 270 | 174 |
| Sucralfate | 212 | 126 |
| Midazolam Hcl/Pfbrand: Midazolam Hcl | 201 | 195 |
| Famotidine | 185 | 133 |
| Fentanyl Citrate/Pfbrand: Fentanyl Citrate | 167 | 159 |
| Midazolam Hcl | 147 | 139 |
| Sodium, Potassium,mag Sulfatesbrand: Suprep | 138 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$614 across 17 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
- 2010-07-21
- Last updated
- 2022-10-29
- Certified
- 2022-10-29
Frequently asked questions
- What is Rafael Tirado-Montijo's NPI number?
- Rafael Tirado-Montijo's National Provider Identifier (NPI) is 1285947127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Tirado-Montijo's specialty?
- Rafael Tirado-Montijo is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Tirado-Montijo located?
- Rafael Tirado-Montijo's practice location on file with NPPES is 93 Paseo Atenas, Manati, PR 00674-5368.
- What is Rafael Tirado-Montijo's phone number?
- The practice phone number listed in the NPPES registry for Rafael Tirado-Montijo is (787) 433-4818.
- Does Rafael Tirado-Montijo accept Medicare?
- Rafael Tirado-Montijo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Tirado-Montijo's NPI active?
- Yes — Rafael Tirado-Montijo's NPI (1285947127) is active in the NPPES registry as of the last update on 2022-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.