Rafael Martinez Perez, MD. PHD.
NPI 1689296915 · Neurological Surgery Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Martinez Perez, MD. PHD. is a Neurological Surgery Physician provider in Wilkes Barre, PA (NPI 1689296915).
Provider details
- NPI number
- 1689296915
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD. PHD.
- Sex
- Male
- Sole proprietor
- No
- License
- MD475679 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
325 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 119 | $29 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 49 | $91 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 47 | $164 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 38 | $63 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 16 | $137 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-08
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Frequently asked questions
- What is Rafael Martinez Perez's NPI number?
- Rafael Martinez Perez's National Provider Identifier (NPI) is 1689296915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Martinez Perez's specialty?
- Rafael Martinez Perez is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Martinez Perez located?
- Rafael Martinez Perez's practice location on file with NPPES is 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027.
- What is Rafael Martinez Perez's phone number?
- The practice phone number listed in the NPPES registry for Rafael Martinez Perez is (570) 808-3290.
- Does Rafael Martinez Perez accept Medicare?
- Rafael Martinez 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 Martinez Perez's NPI active?
- Yes — Rafael Martinez Perez's NPI (1689296915) is active in the NPPES registry as of the last update on 2021-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.