Rafael Garces, MD
NPI 1538620414 · Hospitalist Physician · Miami, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Garces, MD is a Hospitalist Physician provider in Miami, FL (NPI 1538620414).
Provider details
- NPI number
- 1538620414
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME155793 (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
7 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
467 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 257 | $83 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 116 | $125 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 51 | $119 |
| Initial Hospital Care With Same-Day Admission and Discharge With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 70 Minutes99235 | 43 | $166 |
Typical Medicare-allowed amounts for these services range $83–$166 (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 |
|---|---|---|
| Atorvastatin Calcium | 22 | 11 |
| Apixabanbrand: Eliquis | 21 | 16 |
| Carvedilol | 16 | 12 |
| Metoprolol Succinate | 13 | — |
| Losartan Potassium | 12 | 11 |
| Pantoprazole Sodium | 12 | — |
| Spironolactone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (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
- 2019-03-25
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Frequently asked questions
- What is Rafael Garces's NPI number?
- Rafael Garces's National Provider Identifier (NPI) is 1538620414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Garces's specialty?
- Rafael Garces is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Garces located?
- Rafael Garces's practice location on file with NPPES is 1611 Nw 12th Ave, Miami, FL 33136-1005.
- What is Rafael Garces's phone number?
- The practice phone number listed in the NPPES registry for Rafael Garces is (305) 585-1111.
- Does Rafael Garces accept Medicare?
- Rafael Garces is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Garces's NPI active?
- Yes — Rafael Garces's NPI (1538620414) is active in the NPPES registry as of the last update on 2023-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.