Active NPI 1821175316 Individual Practitioner Male Practitioner

Dr. Rafael Montecino , MD

Surgery • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Montecino, MD is a certified Surgery practicing in Boston, MA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Montecino delivers high-quality medical care to the local community at 55 FRUIT ST..

Dr. Montecino maintains professional affiliations with Heywood Medical Group Inc., Henry Heywood Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, aspiration and/or injection of fluid from small joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St.
Massachusetts General Hospitalbigellow 13.

Boston, MA 02114

Telephone 6177263712

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boston, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.1 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

454 Specialists

Practicing in Boston, MA (1077 Statewide)

Telehealth Adoption Rate

19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Montecino (31 Years) 31 Yrs

Boston 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$164.90	$134.25
99213 Established patient office or other outpatient visit, typically 15 minutes	60	43	$90.63	$66.47
20600 Aspiration and/or injection of fluid from small joint	32	22	$85.25	$31.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$123.60	$98.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$375.85	$119.01
64721 Release and/or relocation of hand nerve	18	17	$1568.00	$393.83

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	40	35	$122.58	$98.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$147.22	$134.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	22	$307.38	$119.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$213.63	$182.30
20600 Aspiration and/or injection of fluid from small joint	23	15	$75.43	$30.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$154.00	$144.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$48.38	$35.79
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$85.87	$66.58
64721 Release and/or relocation of hand nerve	14	12	$1260.21	$404.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$155.00	$137.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$114.00	$100.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$171.29	$72.28
99221 Initial hospital inpatient care per day, typically 30 minutes	14	11	$224.21	$101.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$164.86	$72.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	33	$311.93	$88.94
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$138.24	$77.18
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$120.26	$75.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$623.99	$171.04
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$441.38	$125.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$175.00	$110.98

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A90183

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.

Hospital & Practice Group Affiliations

Henry Heywood Memorial Hospital

242 Green St, Gardner, MA 014401336

Phone: 9786323420

Heywood Medical Group Inc.

250 Green St, Gardner, MA 014401396

Phone: 9786306460

Practice Associates & Co-Workers

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

7 Associated Practitioners

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Nurse Practitioner

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Dr. Jonathan Friedstat , MD

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NPI 1316056245

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Dr. Amir Ibrahim , MD

Surgery

NPI 1518215417

Doctor of Medicine (M.D.)

Dr. John Schulz , MD

Surgery

NPI 1558320085

Doctor of Medicine (M.D.)

Dr. Stav Sarna-Cahan , MD

Student in an Organized Health Care Education/Training Program

NPI 1750959516

Doctor of Medicine (M.D.)

Dr. John Findley , MD

Psychiatry & Neurology - Psychiatry

NPI 1891777504

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 06, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2009

Registered at 55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITALBIGELLOW 13., BOSTON, MA 02114 (Tel: 6177263712)

📍

Updated Business Mailing Address April 06, 2009

Registered at 1 LONGFELLOW PLACE #19-19, BOSTON, MA 02114 (Tel: 6192527160)

👤

Provider Name / Credentials Updated April 06, 2009

Recorded as RAFAEL MONTECINO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2009

Surgery (License #A90183 in CA)

🟢

Initial NPI Registration & Enumeration November 01, 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: 1821175316

Entity Type:

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

Enumeration Date: November 01, 2006

Last Update: April 06, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1 Longfellow Place #19-19

Boston, MA 02114

Phone: 6192527160

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.