Active NPI 1487608840 Individual Practitioner Male Practitioner

Dr. Rafael Gonzalez , MD

General Practice • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Gonzalez, MD is a certified General Practice practicing in Miami, FL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Gonzalez delivers high-quality medical care to the local community at 1479 NW 27TH AVE.

Dr. Gonzalez is affiliated with Clinica Las Mercedes, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1479 Nw 27th Ave

Miami, FL 331252133

Telephone 3056333776

Fax 3056334240

Associated Practice Facility / Clinic

🏢 Clinica Las Mercedes, Llc Facility NPI 1326090960

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -10.1 yrs vs City Avg

City Avg: 36.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

333 Specialists

Practicing in Miami, FL (2490 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzalez (26 Years) 26 Yrs

Miami Specialty Average (36.1 Years) 36.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	484	225	$110.00	$95.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	181	181	$312.82	$172.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$249.87	$135.14
G0444 Annual depression screening, 5 to 15 minutes	95	95	$19.47	$19.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$118.96	$117.35
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$15.27	$15.18
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	11	11	$26.61	$26.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	896	313	$110.00	$95.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$249.60	$135.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	161	161	$299.69	$174.52
G0444 Annual depression screening, 5 to 15 minutes	140	140	$19.71	$18.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	11	$23.87	$23.13
J1885 Injection, ketorolac tromethamine, per 15 mg	46	28	$36.96	$0.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$120.00	$118.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$139.38	$134.85
99496 Transitional care management services for problem of high complexity	31	25	$287.63	$282.87
J0696 Injection, ceftriaxone sodium, per 250 mg	22	14	$36.36	$0.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$246.52	$173.99
99495 Transitional care management services for problem of at least moderate complexity	18	15	$213.92	$208.91
93923 Complete ultrasound study of arm and leg arteries	15	15	$100.00	$24.69
J2800 Injection, methocarbamol, up to 10 ml	14	11	$50.00	$6.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	667	201	$109.85	$97.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$248.71	$138.07
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	64	64	$300.00	$178.98
G0444 Annual depression screening, 5 to 15 minutes	57	57	$18.93	$18.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	16	$75.00	$61.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$250.00	$178.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$128.63	$121.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	137	$110.61	$99.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	87	87	$291.13	$177.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$244.89	$141.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$113.27	$113.27
G0444 Annual depression screening, 5 to 15 minutes	11	11	$20.48	$18.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	91	$110.00	$81.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	46	46	$173.46	$171.84
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	24	20	$16.01	$14.57
G0444 Annual depression screening, 5 to 15 minutes	22	22	$19.23	$19.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$123.61	$122.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	437	189	$110.00	$79.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	65	65	$174.20	$165.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	28	$23.17	$22.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	16	$17.81	$17.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$119.59	$113.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$151.87	$148.83
G0444 Annual depression screening, 5 to 15 minutes	11	11	$36.02	$15.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	200	106	$75.22	$44.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	90	$139.49	$108.98
99213 Established patient office or other outpatient visit, typically 15 minutes	112	75	$110.18	$73.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$231.90	$170.82

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	98	80	$171.26	$112.22
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$132.96	$75.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$185.65	$175.22

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME89042

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

Commercial Insurance / Payer ID Fl Medical License

ME89042 (FL)

Hospital & Practice Group Affiliations

Clinica Las Mercedes, Llc

1479 Nw 27th Ave, Miami, FL 331252133

Phone: 3056333776

Practice Associates & Co-Workers

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

10 Associated Practitioners

Marielys Cantillo

Nurse Practitioner - Family

NPI 1124722095

Dr. Rafael Junco , MD

Family Medicine

NPI 1194016378

Doctor of Medicine (M.D.)

Elian Gonzalez

Nurse Practitioner - Primary Care

NPI 1306622683

Alfredo Rodriguez Gil , ARNP

Nurse Practitioner - Family

NPI 1386246254

Advanced Registered Nurse Practitioner

Dr. Jorge Rubinos , MD

General Practice

NPI 1659864817

Doctor of Medicine (M.D.)

Ricardo Suarez Perez , APRN, FNP

Nurse Practitioner

NPI 1689482523

Advanced Practice Registered Nurse, Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 05, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2007

Registered at 1479 NW 27TH AVE, MIAMI, FL 331252133 (Tel: 3056333776)

📍

Updated Business Mailing Address September 05, 2007

Registered at 14332 SW 40TH TER, MIAMI, FL 331757823 (Tel: 3056333776)

👤

Provider Name / Credentials Updated September 05, 2007

Recorded as RAFAEL GONZALEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2007

General Practice (License #ME89042 in FL)

🟢

Initial NPI Registration & Enumeration May 20, 2006

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: 1487608840

Entity Type:

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

Enumeration Date: May 20, 2006

Last Update: September 05, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14332 Sw 40th Ter

Miami, FL 331757823

Phone: 3056333776

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.