Doctor profile · Federal record
Dr. Rafael Fonseca, M.D.
Hematology (Internal Medicine) Physician (CMS: Hematology) · Scottsdale, AZ
- NPI 1275517898
- Accepts Medicare
- MIPS 78.6 / 100 · 2023
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
13400 E Shea Blvd
Scottsdale, AZ 852595404
(480) 301-8000
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- September 3, 2020
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 207RH0000X — NUCC code
- State license (1)
- Arizona #32565
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275517898. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
237
Distinct HCPCS
3
Medicare allowed
$25,771
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 116 | 82 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 73 | 55 | $86 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 48 | 48 | $109 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 66. This provider delivers 3.6× the peer median.Open Payments
Industry payments received
All-time total
$63,766
Transactions
35
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GENZYME CORPORATION | 5 | $17,834.80 | |
| Janssen Global Services, LLC | 10 | $13,020.35 | |
| Legend Biotech USA Inc. | 2 | $5,417.50 | |
| GlaxoSmithKline, LLC. | 4 | $5,286.59 | |
| Janssen Scientific Affairs, LLC | 4 | $5,096.50 | |
| E.R. Squibb & Sons, L.L.C. | 3 | $4,940.00 | |
| Johnson & Johnson Health Care Systems Inc. | 1 | $3,815.00 | |
| PFIZER INC. | 1 | $3,150.00 | |
| ABBVIE INC. | 1 | $2,700.00 | |
| Adaptive Biotechnologies Corporation | 1 | $2,400.00 | |
| SOBI, INC | 1 | $59.42 | |
| Janssen Biotech, Inc. | 2 | $45.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
557
Patients
83
Total drug cost
$3,541,515
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Acyclovir | Generic | 142 | 36 | $2,500 |
| Revlimid (Lenalidomide) | Brand | 106 | 18 | $1,845,191 |
| Dexamethasone | Generic | 64 | 29 | $650 |
| Morphine Sulfate Er (Morphine Sulfate) | Brand | 37 | 0 | $643 |
| Pomalyst (Pomalidomide) | Brand | 34 | 0 | $776,034 |
| Venclexta (Venetoclax) | Brand | 34 | 0 | $467,536 |
| Lenalidomide | Generic | 28 | 0 | $345,834 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 17 | 0 | $239 |
| Gabapentin | Generic | 16 | 0 | $316 |
| Lorazepam | Generic | 15 | 0 | $63 |
Hospital affiliations
Frequently asked questions
What is Dr. Rafael Fonseca's medical specialty?
Dr. Rafael Fonseca practices Hematology (Internal Medicine) Physician in Scottsdale, AZ.
Where does Dr. Rafael Fonseca practice?
Dr. Rafael Fonseca practices at 13400 E Shea Blvd, Scottsdale, AZ 852595404. Office phone: 4803018000.
What is Dr. Rafael Fonseca's NPI?
Dr. Rafael Fonseca's National Provider Identifier (NPI) is 1275517898, issued by NPPES.
Does Dr. Rafael Fonseca accept Medicare assignment?
Yes. Dr. Rafael Fonseca accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Fonseca commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.