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Active NPI 1366893976 Individual Practitioner Male Practitioner

Dr. Marc A Rafols , MD

Surgery • Miami Beach, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Marc Rafols, MD is a certified Surgery practicing in Miami Beach, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Rafols delivers high-quality medical care to the local community at 4300 ALTON RD.

Dr. Rafols is affiliated with Physician Practices Of Msmc Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4300 Alton Rd

Miami Beach, FL 331402948

Telephone 7862391572
Associated Practice Facility / Clinic
🏢 Paul A. Vignola, Md Pa Facility NPI 1336131341

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Miami Beach, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -10.9 yrs vs City Avg
City Avg: 20.9 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Miami Beach, FL (2030 Statewide)

Telehealth Adoption Rate
23.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafols (10 Years) 10 Yrs
Miami Beach Specialty Average (20.9 Years) 20.9 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes
145 60 $128.00 $52.74
99213 Established patient office or other outpatient visit, typically 15 minutes
45 25 $228.00 $95.37
99221 Initial hospital inpatient care per day, typically 30 minutes
29 29 $334.00 $89.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
16 16 $449.00 $139.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $348.00 $118.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $536.00 $177.79

Medical Specialties & State Licenses

CMS Verified: 2021-06-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL 150479

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Physician Practices Of Msmc Llc

4302 Alton Rd, Miami Beach, FL 331402877

Phone: 3055324835

Practice Associates & Co-Workers

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

40 Associated Practitioners
Robert Scordato , PA

Physician Assistant - Medical

NPI 1003107640

Physician Assistant

NPI 1003208554
NPI 1003776022

Pharmacist

Frederick Hasty

Anesthesiology

NPI 1013160126
Dr. Justin Burkholder , DO

Emergency Medicine

NPI 1013390368

Doctor of Osteopathic Medicine (D.O.)

Dr. Elias Atri , MD

Student in an Organized Health Care Education/Training Program

NPI 1013590959

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated June 16, 2021

Recorded as MARC RAFOLS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2021

Surgery (License #150479 in FL)

NPI Profile Active June 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2016

Registered at 4300 ALTON RD, MIAMI BEACH, FL 331402948 (Tel: 7862391572)

📍
Updated Business Mailing Address June 24, 2016

Registered at 4300 ALTON ROAD, MIAMI BEACH, FL 33140 (Tel: 7862391572)

👤
Provider Name / Credentials Updated June 24, 2016

Recorded as MARC RAFOLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 24, 2016

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: 1366893976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2016
Last Update: June 16, 2021
Sole Proprietor: No

Mailing Address

4300 Alton Road

Miami Beach, FL 33140

Phone: 7862391572

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.