Active NPI 1104866235 Individual Practitioner Male Practitioner

Dr. Rafael Crespo , MD

Internal Medicine • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Crespo, MD is a certified Internal Medicine practicing in Miami, FL. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Crespo delivers high-quality medical care to the local community at 456 SW 8TH ST.

Dr. Crespo is affiliated with First Docs Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

456 Sw 8th St

Miami, FL 331302814

Telephone 3058547968

Fax 3058589799

Associated Practice Facility / Clinic

🏢 Rafael Crespo, Md, Pa Facility NPI 1194113787

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +20.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

788 Specialists

Practicing in Miami, FL (10650 Statewide)

Telehealth Adoption Rate

17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crespo (45 Years) 45 Yrs

Miami Specialty Average (24.1 Years) 24.1 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	425	73	$174.15	$95.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	25	$233.00	$83.10
36415 Insertion of needle into vein for collection of blood sample	59	41	$14.92	$8.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	12	$299.68	$124.97
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$35.32	$15.27
99238 Hospital discharge day management, 30 minutes or less	30	30	$230.63	$85.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	24	$468.56	$182.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$250.00	$133.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	560	84	$135.39	$95.66
36415 Insertion of needle into vein for collection of blood sample	72	48	$10.07	$8.40
93000 Routine ekg using at least 12 leads including interpretation and report	47	41	$85.00	$15.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	630	96	$135.00	$97.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	23	$132.05	$110.07
36415 Insertion of needle into vein for collection of blood sample	101	69	$10.00	$2.97
93000 Routine ekg using at least 12 leads including interpretation and report	48	39	$85.00	$15.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	12	$183.33	$76.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$350.00	$147.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	724	119	$119.68	$100.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	346	59	$134.51	$112.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	162	44	$120.00	$78.78
36415 Insertion of needle into vein for collection of blood sample	107	79	$10.84	$3.00
99225 Subsequent observation care, typically 25 minutes per day	70	20	$150.00	$78.78
93000 Routine ekg using at least 12 leads including interpretation and report	62	60	$85.00	$16.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	50	$262.26	$150.33
99239 Hospital discharge day management, more than 30 minutes	42	39	$200.00	$115.74
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$250.00	$114.28
99217 Hospital observation care on day of discharge	32	31	$150.00	$78.66
99238 Hospital discharge day management, 30 minutes or less	26	25	$163.85	$78.66
99218 Hospital observation care typically 30 minutes	25	25	$200.00	$109.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	11	$230.00	$219.60
99219 Hospital observation care, typically 50 minutes	12	11	$220.00	$147.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	914	128	$100.00	$82.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	245	36	$146.29	$115.72
36415 Insertion of needle into vein for collection of blood sample	143	96	$10.00	$2.98
93000 Routine ekg using at least 12 leads including interpretation and report	80	71	$85.00	$18.92
71046 X-ray of chest, 2 views	71	64	$100.00	$35.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	18	$120.00	$80.41
99238 Hospital discharge day management, 30 minutes or less	32	24	$128.13	$81.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	18	$230.00	$225.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$200.00	$156.14
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$250.00	$117.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$67.27	$50.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	839	146	$100.00	$80.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	224	29	$164.61	$113.83
36415 Insertion of needle into vein for collection of blood sample	164	101	$10.00	$2.94
93000 Routine ekg using at least 12 leads including interpretation and report	81	71	$85.00	$18.67
71046 X-ray of chest, 2 views	63	58	$100.00	$33.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	30	$259.69	$221.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	11	$150.00	$99.78
99238 Hospital discharge day management, 30 minutes or less	38	27	$101.58	$79.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$150.00	$149.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	890	171	$100.00	$78.07
36415 Insertion of needle into vein for collection of blood sample	175	122	$10.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	134	31	$260.72	$113.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	125	17	$150.00	$98.81
93000 Routine ekg using at least 12 leads including interpretation and report	106	92	$85.00	$18.44
71046 X-ray of chest, 2 views	89	81	$105.62	$32.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	15	$191.83	$79.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	28	$492.57	$215.73
99239 Hospital discharge day management, more than 30 minutes	32	30	$289.25	$115.78
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	19	19	$400.00	$216.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$65.33	$46.94
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	14	11	$150.00	$57.44
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	11	$150.00	$140.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$150.00	$148.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,173	204	$99.97	$77.76
36415 Insertion of needle into vein for collection of blood sample	202	142	$11.19	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	152	28	$190.26	$111.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	134	21	$150.07	$97.64
93000 Routine ekg using at least 12 leads including interpretation and report	129	123	$85.00	$18.33
71020 X-ray of chest, 2 views, front and side	128	120	$248.71	$29.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$64.88	$46.51
99238 Hospital discharge day management, 30 minutes or less	32	27	$102.88	$77.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	26	$270.07	$219.08
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	18	$150.00	$139.34
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	14	14	$400.00	$234.07
73521 X-ray of both hips, 2 views	14	14	$130.00	$41.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$150.00	$148.82

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME0054181

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

First Docs Pc

3663 S Miami Ave, Miami, FL 331334253

Phone: 6095851122

First Docs Pc

830 Lakeside Cir, Pompano Beach, FL 330607748

Phone: 6095851122

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 456 SW 8TH ST, MIAMI, FL 331302814 (Tel: 3058547968)

📍

Updated Business Mailing Address July 08, 2007

Registered at 456 SW 8TH ST, MIAMI, FL 331302814 (Tel: 3058547968)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RAFAEL CRESPO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #ME0054181 in FL)

🟢

Initial NPI Registration & Enumeration June 07, 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: 1104866235

Entity Type:

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

Enumeration Date: June 07, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

456 Sw 8th St

Miami, FL 331302814

Phone: 3058547968

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.