Active NPI 1194958603 Individual Practitioner Male Practitioner

Dr. Rafael Crespo Fernandez , MD

General Practice • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Crespo Fernandez, MD is a certified General Practice practicing in Hialeah, FL. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Crespo Fernandez delivers high-quality medical care to the local community at 777 E 25TH ST STE 320.

Dr. Crespo Fernandez accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, face-to-face behavioral counseling for obesity, annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

777 E 25th St Ste 320

Hialeah, FL 330133849

Telephone 3053020380

Associated Practice Facility / Clinic

🏢 Crespomedcare Llc Facility NPI 1760339659

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +0.3 yrs vs City Avg

City Avg: 35.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

115 Specialists

Practicing in Hialeah, FL (2490 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crespo Fernandez (36 Years) 36 Yrs

Hialeah Specialty Average (35.7 Years) 35.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	32	$276.97	$134.60
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$197.38	$95.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	31	$275.80	$135.29
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	23	12	$58.24	$27.54
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	11	11	$58.24	$27.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	49	$196.90	$136.58
99213 Established patient office or other outpatient visit, typically 15 minutes	65	32	$179.55	$97.61
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	45	22	$28.79	$26.73
36415 Insertion of needle into vein for collection of blood sample	40	30	$10.63	$2.96
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	38	38	$78.51	$28.62
99497 Advance care planning, first 30 minutes	32	31	$150.00	$90.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	17	$201.50	$194.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$64.00	$61.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$138.79	$137.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	50	$168.64	$140.31
99213 Established patient office or other outpatient visit, typically 15 minutes	78	42	$121.69	$99.38
36415 Insertion of needle into vein for collection of blood sample	77	49	$12.30	$3.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	76	25	$44.75	$29.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	45	$80.54	$60.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	29	$231.10	$196.37
0031A Adm sarscov2 vac ad26 .5ml	52	52	$80.00	$39.30
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	37	37	$44.54	$29.33
0012A Adm sarscov2 100mcg/0.5ml2nd	32	32	$80.00	$41.85
91300 Sarscov2 vac 30mcg/0.3ml im	28	28	$0.01	$0.01
0003A Adm sarscov2 30mcg/0.3ml 3rd	25	25	$80.00	$41.85
G0444 Annual depression screening, 5 to 15 minutes	23	23	$33.00	$19.69
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	21	16	$53.00	$43.87
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	21	20	$80.00	$21.33
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	20	20	$80.00	$41.85
G0442 Annual alcohol misuse screening, 5 to 15 minutes	19	19	$32.26	$19.65
0011A Adm sarscov2 100mcg/0.5ml1st	18	17	$80.00	$41.85
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$41.88	$16.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$212.06	$179.44
91301 Sarscov2 vac 100mcg/0.5ml im	15	15	$0.01	$0.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$162.73	$142.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	78	$120.88	$113.71
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	108	25	$29.24	$28.53
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	104	45	$47.35	$45.20
99213 Established patient office or other outpatient visit, typically 15 minutes	83	44	$109.88	$79.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	37	$53.17	$47.95
36415 Insertion of needle into vein for collection of blood sample	64	44	$10.05	$2.98
99497 Advance care planning, first 30 minutes	48	38	$93.46	$91.07
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	40	40	$29.80	$28.37
G0442 Annual alcohol misuse screening, 5 to 15 minutes	40	40	$20.65	$19.08
G0444 Annual depression screening, 5 to 15 minutes	38	38	$20.55	$19.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	14	$163.57	$158.07
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$33.37	$18.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$129.72	$122.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$181.00	$179.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$213.27	$182.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	55	$117.50	$114.20
99213 Established patient office or other outpatient visit, typically 15 minutes	84	46	$112.50	$78.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	32	$52.82	$47.28
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	57	30	$47.30	$44.30
36415 Insertion of needle into vein for collection of blood sample	50	31	$10.00	$2.94
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	46	16	$29.02	$27.69
G0442 Annual alcohol misuse screening, 5 to 15 minutes	23	23	$20.00	$18.89
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	23	23	$29.00	$28.06
G0444 Annual depression screening, 5 to 15 minutes	23	23	$20.00	$18.89
99497 Advance care planning, first 30 minutes	23	18	$93.09	$91.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$127.20	$123.10
93000 Routine ekg using at least 12 leads including interpretation and report	18	15	$28.33	$18.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	37	$117.36	$112.18
99213 Established patient office or other outpatient visit, typically 15 minutes	49	35	$109.71	$77.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$87.53	$46.65
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$40.00	$18.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	57	$116.02	$114.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	31	$49.37	$46.38
36415 Insertion of needle into vein for collection of blood sample	58	40	$10.12	$2.94
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	35	35	$29.00	$27.56
G0442 Annual alcohol misuse screening, 5 to 15 minutes	30	30	$20.00	$18.83
99497 Advance care planning, first 30 minutes	27	22	$93.07	$87.22
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$77.81	$76.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	22	18	$47.00	$44.78
G0444 Annual depression screening, 5 to 15 minutes	20	20	$20.00	$18.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$181.00	$178.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$126.00	$122.57
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	16	12	$29.00	$27.56
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$19.07	$17.73

Medical Specialties & State Licenses

CMS Verified: 2026-03-16

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN 613

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

130438900 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location March 16, 2026

Registered at 777 E 25TH ST STE 320, HIALEAH, FL 330133849 (Tel: 3053020380)

📍

Updated Practice Location January 11, 2024

Registered at 16201 SW 95TH AVE, MIAMI, FL 331573459 (Tel: 3054004605)

👤

Provider Name / Credentials Updated October 30, 2023

Recorded as RAFAEL CRESPO FERNANDEZ, MD

📍

Updated Business Mailing Address March 10, 2023

Registered at 860 NW 42ND AVE, FL 5, MIAMI, FL 33126 (Tel: 3055047885)

📍

Updated Practice Location October 24, 2022

Registered at 6400 SW 8TH ST, WEST MIAMI, FL 331444814 (Tel: 3055872747)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

General Practice (License #ACN 613 in FL)

👤

Provider Name / Credentials Updated October 14, 2020

Recorded as RAFAEL CRESPO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2020

General Practice (License #17723 in PR)

📍

Updated Practice Location October 25, 2018

Registered at 759 NW 22ND AVE, MIAMI, FL 331253339 (Tel: 3055415245)

📍

Updated Business Mailing Address October 25, 2018

Registered at 759 NW 22ND AVE, MIAMI, FL 331253339 (Tel: 3055415245)

✅

NPI Profile Active September 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2015

Registered at 3665 NW 12TH ST, MIAMI, FL 331252812 (Tel: 7863179921)

📍

Updated Business Mailing Address September 09, 2015

Registered at 3665 NW 12TH ST, MIAMI, FL 331252812 (Tel: 7863179921)

👤

Provider Name / Credentials Updated September 09, 2015

Recorded as RAFAEL CRESPO FERNANDEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2015

General Practice (License #ACN 613 in FL)

🟢

Initial NPI Registration & Enumeration August 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194958603

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2009

Last Update: March 16, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

860 Nw 42nd Ave, Fl 5

Miami, FL 33126

Phone: 3055047885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.