Rafael Otero
NPI 1790289791 · Internal Medicine Physician · Brownsville, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Otero is a Internal Medicine Physician provider in Brownsville, TX (NPI 1790289791).
Provider details
- NPI number
- 1790289791
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- T4446 (TX)
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
8 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
638 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 | 156 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 132 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 89 | $87 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 69 | $9 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 48 | $77 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 105 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 454 | 201 |
| Levothyroxine Sodium | 216 | 80 |
| Losartan Potassium | 177 | 81 |
| Lisinopril | 173 | 75 |
| Prednisone | 167 | 124 |
| Metformin Hcl | 151 | 77 |
| Amlodipine Besylate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$397 across 20 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
- 2018-03-23
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Frequently asked questions
- What is Rafael Otero's NPI number?
- Rafael Otero's National Provider Identifier (NPI) is 1790289791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Otero's specialty?
- Rafael Otero is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Otero located?
- Rafael Otero's practice location on file with NPPES is 832 Ridgewood St Ste B, Brownsville, TX 78520-0102.
- What is Rafael Otero's phone number?
- The practice phone number listed in the NPPES registry for Rafael Otero is (956) 667-5298.
- Does Rafael Otero accept Medicare?
- Rafael Otero is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Otero's NPI active?
- Yes — Rafael Otero's NPI (1790289791) is active in the NPPES registry as of the last update on 2022-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.