Rafael Perez, MD
NPI 1528004579 · Specialist · South Miami, FL
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Perez, MD is a Specialist provider in South Miami, FL (NPI 1528004579).
Provider details
- NPI number
- 1528004579
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME75777 (FL)
Specialties & taxonomies
Other Service Providers
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
232 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 | 104 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $94 |
| Colorectal Cancer Screening; Fecal Occult Blood Test, Immunoassay, 1-3 SimultaneousG0328 | 53 | $18 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $178 |
Typical Medicare-allowed amounts for these services range $18–$178 (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 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 148 | 71 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 58 | 33 |
| Estrogens, Conjugatedbrand: Premarin | 28 | 14 |
| Terconazole | 21 | 16 |
| Estradiolbrand: Estradiol (twice Weekly) | 20 | — |
| Triamcinolone Acetonide | 16 | — |
| Mirabegronbrand: Myrbetriq | 15 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$519 across 7 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
- 2006-06-20
- Last updated
- 2009-03-18
Frequently asked questions
- What is Rafael Perez's NPI number?
- Rafael Perez's National Provider Identifier (NPI) is 1528004579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Perez's specialty?
- Rafael Perez is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Rafael Perez located?
- Rafael Perez's practice location on file with NPPES is 7000 Sw 62nd Ave, South Miami, FL 33143-4724.
- What is Rafael Perez's phone number?
- The practice phone number listed in the NPPES registry for Rafael Perez is (305) 665-2060.
- Does Rafael Perez accept Medicare?
- Rafael Perez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Perez's NPI active?
- Yes — Rafael Perez's NPI (1528004579) is active in the NPPES registry as of the last update on 2009-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.