Active NPI 1578990438 Individual Practitioner Male Practitioner

Dr. Rafael Martinez , MD

General Practice • Kissimmee, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Martinez, MD is a certified General Practice practicing in Kissimmee, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Martinez delivers high-quality medical care to the local community at 904B CYPRESS PKWY.

Dr. Martinez is affiliated with Centerwell Senior Primary Care Fl Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

904b Cypress Pkwy

Kissimmee, FL 347593456

Telephone 4075430237

Fax 4074831405

Associated Practice Facility / Clinic

🏢 Centerwell Senior Primary Care (Fl) Inc. Facility NPI 1922039254

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kissimmee, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -3.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

120 Specialists

Practicing in Kissimmee, FL (2490 Statewide)

Telehealth Adoption Rate

31.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

44.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (20 Years) 20 Yrs

Kissimmee Specialty Average (23.4 Years) 23.4 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	61	28	$220.00	$122.74
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	28	24	$35.00	$16.08
36415 Insertion of needle into vein for collection of blood sample	23	16	$15.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$156.88	$88.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$220.00	$125.89

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	70	32	$220.39	$125.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$225.00	$125.73
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$159.71	$88.51

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	45	$157.81	$124.76
99213 Established patient office or other outpatient visit, typically 15 minutes	27	20	$112.04	$85.51
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	20	11	$150.00	$126.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	80	33	$153.10	$128.78
99442 Telephone medical discussion with physician, 11-20 minutes	46	23	$120.00	$91.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	16	$134.17	$125.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	13	$66.00	$40.64
99496 Transitional care management services for problem of high complexity	24	18	$270.00	$270.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	21	$86.00	$52.42
99441 Telephone medical discussion with physician, 5-10 minutes	22	11	$75.00	$55.76
99443 Telephone medical discussion with physician, 21-30 minutes	13	11	$180.00	$130.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$183.64	$169.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	107	46	$161.38	$129.71
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	73	31	$66.00	$40.43
99496 Transitional care management services for problem of high complexity	30	22	$301.50	$241.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	11	$138.74	$107.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$86.00	$52.88
99344 New patient home visit, typically 1 hour	18	18	$208.52	$183.01
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	15	11	$101.33	$84.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	131	53	$218.28	$129.21
99496 Transitional care management services for problem of high complexity	56	37	$368.30	$228.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	42	26	$65.74	$40.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	26	$86.00	$52.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	11	$180.27	$107.30
99495 Transitional care management services for problem of at least moderate complexity	16	13	$262.19	$161.43

Medical Specialties & State Licenses

CMS Verified: 2026-02-27

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ANC889

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

021849000 (FL)

Hospital & Practice Group Affiliations

Centerwell Senior Primary Care Fl Inc.

2577 Simpson Rd, Kissimmee, FL 347444642

Phone: 4073488338

Centerwell Senior Primary Care Fl Inc.

904 B Cypress Pkwy, Kissimmee, FL 347593456

Phone: 4074831400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Francin Jean Baptiste , MD

General Practice

NPI 1053967638

Doctor of Medicine (M.D.)

Dr. Teresa Bravo , MD

Family Medicine

NPI 1093797854

Doctor of Medicine (M.D.)

Dr. Roberto Gonzalez , MD

Internal Medicine

NPI 1376536235

Doctor of Medicine (M.D.)

Dr. Carlos Miranda , MD

Internal Medicine

NPI 1376879031

Doctor of Medicine (M.D.)

Dr. Lillian Vargas , MD

Internal Medicine

NPI 1508902099

Doctor of Medicine (M.D.)

Dr. Migdalis Matos Gonzalez , MD

Family Medicine

NPI 1679566277

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Practice Location February 27, 2026

Registered at 904B CYPRESS PKWY, KISSIMMEE, FL 347593456 (Tel: 4075430237)

📍

Updated Business Mailing Address February 27, 2026

Registered at 6101 BLUE LAGOON DR STE 200, MIAMI, FL 331263168 (Tel: 8446300700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2026

General Practice (License #ANC889 in FL)

📍

Updated Practice Location September 02, 2022

Registered at 1050 CYPRESS PKWY, KISSIMMEE, FL 347593328 (Tel: 4074831400)

📍

Updated Business Mailing Address September 02, 2022

Registered at 1050 CYPRESS PKWY, KISSIMMEE, FL 347593328 (Tel: 4074831400)

📍

Updated Practice Location March 05, 2019

Registered at 2559 E IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34744 (Tel: 4074837441)

📍

Updated Business Mailing Address March 05, 2019

Registered at 2559 E IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 347444993 (Tel: 4074837015)

✅

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2017

Registered at 3280 N JOHN YOUNG PKWY, KISSIMMEE, FL 347417549 (Tel: 4073266470)

📍

Updated Business Mailing Address June 13, 2017

Registered at 3109 TURNBERRY BLVD, KISSIMMEE, FL 347449177 (Tel: (786) 316-2707)

👤

Provider Name / Credentials Updated June 13, 2017

Recorded as RAFAEL MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

General Practice (License #018814 in PR)

✅

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2016

Registered at 70 CALLE SANTA CRUZ, BAYAMON, PR 009617052 (Tel: 7863162707)

📍

Updated Business Mailing Address December 15, 2016

Registered at 3109 TURNBERRY BLVD, KISSIMMEE, FL 347449177 (Tel: 7863162707)

👤

Provider Name / Credentials Updated December 15, 2016

Recorded as RAFAEL MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

General Practice (License #018814 in PR)

🟢

Initial NPI Registration & Enumeration October 08, 2013

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: 1578990438

Entity Type:

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

Enumeration Date: October 08, 2013

Last Update: February 27, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6101 Blue Lagoon Dr Ste 200

Miami, FL 331263168

Phone: 8446300700

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.