Rafael Ponce Terashima, MD
NPI 1962720326 · Infectious Disease Physician · Macon, GA
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Ponce Terashima, MD is a Infectious Disease Physician provider in Macon, GA (NPI 1962720326).
Provider details
- NPI number
- 1962720326
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 430109038 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
16 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
306 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 | 104 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 79 | $111 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 58 | $162 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 36 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $85 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 96 | 16 |
| Dicloxacillin Sodium | 24 | — |
| Amoxicillin | 19 | — |
| Ceftriaxone Sodiumbrand: Ceftriaxone | 16 | — |
| Ampicillin Sodium | 14 | — |
| Amlodipine Besylate | 14 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$83 across 4 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
- 2010-05-11
- Last updated
- 2019-02-20
Frequently asked questions
- What is Rafael Ponce Terashima's NPI number?
- Rafael Ponce Terashima's National Provider Identifier (NPI) is 1962720326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Ponce Terashima's specialty?
- Rafael Ponce Terashima is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Ponce Terashima located?
- Rafael Ponce Terashima's practice location on file with NPPES is 707 Pine St, Macon, GA 31201-2106.
- What is Rafael Ponce Terashima's phone number?
- The practice phone number listed in the NPPES registry for Rafael Ponce Terashima is (478) 301-5800.
- Does Rafael Ponce Terashima accept Medicare?
- Rafael Ponce Terashima is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Ponce Terashima's NPI active?
- Yes — Rafael Ponce Terashima's NPI (1962720326) is active in the NPPES registry as of the last update on 2019-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.