Active NPI 1376727040 Individual Practitioner Male Practitioner

Dr. Rafael Carlos Crespo , MD

General Practice • Ridge Manor, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Crespo, MD is a certified General Practice practicing in Ridge Manor, FL. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Crespo delivers high-quality medical care to the local community at 34498 CORTEZ BLVD.

Dr. Crespo is affiliated with Guidewell Sanitas I, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

34498 Cortez Blvd

Ridge Manor, FL 335238908

Telephone 3525834520

Fax 3525835527

Associated Practice Facility / Clinic

🏢 Healthflo Medical Clinics Inc Facility NPI 1164568275

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ridge Manor, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Ridge Manor, FL (2490 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crespo (21 Years) 21 Yrs

Ridge Manor Specialty Average (21.0 Years) 21.0 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	11	11	$236.00	$91.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	56	$262.16	$92.35
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	36	31	$204.00	$59.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$352.18	$115.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	72	$298.00	$94.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$365.50	$117.74
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	31	30	$136.00	$41.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$422.00	$132.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	64	$275.28	$95.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$327.16	$135.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$332.47	$118.58
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$194.17	$76.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$408.21	$176.84
81003 Automated urinalysis test	13	12	$24.77	$2.25

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	88	71	$235.36	$113.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$241.87	$113.38
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$160.43	$79.07
81003 Automated urinalysis test	21	19	$20.00	$2.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	13	13	$34.62	$16.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$238.44	$113.38
99213 Established patient office or other outpatient visit, typically 15 minutes	110	98	$158.02	$76.84
81003 Automated urinalysis test	27	27	$20.00	$2.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	26	$30.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	19	$54.00	$17.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$362.00	$175.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$234.46	$114.41
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$154.08	$75.74
36415 Insertion of needle into vein for collection of blood sample	17	17	$6.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$227.00	$109.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$122.81	$70.34
36415 Insertion of needle into vein for collection of blood sample	12	11	$6.00	$2.94

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN526

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

Hospital & Practice Group Affiliations

Guidewell Sanitas I, Llc

180 Sw 84th Ave, Plantation, FL 333242731

Phone: 8446654827

Guidewell Sanitas I, Llc

7342 W Commercial Blvd, Lauderhill, FL 333192128

Phone: 8446654827

Secondary Practice Locations

5819 Argerian Dr

Wesley Chapel, FL 335454159

Phone: 8139940800

Practice Associates & Co-Workers

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

2 Associated Practitioners

Nikki Riegel , FNP-C

Nurse Practitioner - Family

NPI 1023607330

Family Nurse Practitioner (Certified)

Dr. Juan Lopez Gonzalez , MD

General Practice

NPI 1225210685

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2017

Registered at 34498 CORTEZ BLVD, RIDGE MANOR, FL 335238908 (Tel: 3525834520)

📍

Updated Business Mailing Address August 14, 2017

Registered at 34498 CORTEZ BLVD, RIDGE MANOR, FL 335238908 (Tel: (787) 455-6496)

👤

Provider Name / Credentials Updated August 14, 2017

Recorded as RAFAEL CRESPO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

General Practice (License #ACN526 in FL)

✅

NPI Profile Active December 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2012

Registered at C8 CALLE SABATINI, PARK GARDENS, SAN JUAN, PR 009262107 (Tel: 7874556496)

📍

Updated Business Mailing Address December 12, 2012

Registered at PO BOX 29763, SAN JUAN, PR 009290763 (Tel: 7874556496)

👤

Provider Name / Credentials Updated December 12, 2012

Recorded as RAFAEL CRESPO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2012

General Practice (License #16,975 in PR)

🟢

Initial NPI Registration & Enumeration December 18, 2007

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: 1376727040

Entity Type:

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

Enumeration Date: December 18, 2007

Last Update: July 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

34498 Cortez Blvd

Ridge Manor, FL 335238908

Phone: 7874556496

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.