Doctor profile · Federal record
Dr. Rafael Montalvo, M.D.
Family Medicine Physician (CMS: Family Practice) · Mission Hills, CA
- NPI 1568722007
- Accepts Medicare
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11333 Sepulveda Blvd
Mission Hills, CA 913451116
(818) 365-9531
fax (626) 296-1403 - Mailing address
-
Po Box 9602
Mission Hills, CA 913469602
Credentials & registration
- NPI registered
- May 2012 — 14 yrs on file
- Profile last updated
- July 21, 2022
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- California #A132041
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568722007. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
283
Distinct HCPCS
10
Medicare allowed
$22,303
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 85 | 85 | $139 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 46 | 45 | $35 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 35 | 35 | $99 | |
81003 |
Automated urinalysis test | 23 | 19 | $2 | |
36415 |
Insertion of needle into vein for collection of blood sample | 20 | 20 | $8 | |
96372 |
Injection of drug or substance under skin or into muscle | 19 | 14 | $16 | |
80053 |
Blood test, comprehensive group of blood chemicals | 15 | 15 | $10 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15 | 15 | $8 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $180 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 11 | 11 | $195 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 50. This provider delivers 5.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
425
Patients
419
Total drug cost
$2,833
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 76 | 76 | $147 |
| Azithromycin | Generic | 57 | 56 | $253 |
| Tramadol Hcl-Acetaminophen (Tramadol Hcl/Acetaminophen) | Brand | 38 | 38 | $137 |
| Baclofen | Generic | 34 | 33 | $157 |
| Methylprednisolone | Generic | 29 | 28 | $239 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 28 | 28 | $210 |
| Cefdinir | Generic | 23 | 23 | $336 |
| Ciprofloxacin Hcl | Generic | 22 | 21 | $128 |
| Paxlovid (Eua) (Nirmatrelvir/Ritonavir) | Brand | 22 | 22 | $243 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 20 | 20 | $76 |
Frequently asked questions
What is Dr. Rafael Montalvo's medical specialty?
Dr. Rafael Montalvo practices Family Medicine Physician in Mission Hills, CA.
Where does Dr. Rafael Montalvo practice?
Dr. Rafael Montalvo practices at 11333 Sepulveda Blvd, Mission Hills, CA 913451116. Office phone: 8183659531.
What is Dr. Rafael Montalvo's NPI?
Dr. Rafael Montalvo's National Provider Identifier (NPI) is 1568722007, issued by NPPES.
Does Dr. Rafael Montalvo accept Medicare assignment?
Yes. Dr. Rafael Montalvo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Montalvo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.