Doctor profile · Federal record
Dr. Francesca Raffa, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Doral, FL
- NPI 1164876165
- Accepts Medicare
- MIPS 89.9 / 100 · 2023
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
8375 Nw 53Rd St
Doral, FL 331664611
(305) 243-8644 - Additional location
-
1400 Nw 12Th Ave
Miami, FL 331361003
(305) 243-4000 - Additional location
-
1611 Nw 12Th Ave
Miami, FL 331361005
(305) 243-4000
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- July 23, 2024
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Florida #ME168702
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164876165. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
632
Distinct HCPCS
10
Medicare allowed
$67,901
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 107 | 77 | $125 | |
88305 |
Pathology examination of tissue using a microscope, intermediate complexity | 74 | 29 | $35 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 64 | 60 | $83 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $165 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | 34 | $78 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | 47 | $128 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 41 | 40 | $135 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 41 | 38 | $89 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | 27 | $49 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | 22 | $249 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 50. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 1 | $17.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
260
Patients
133
Total drug cost
$23,433
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-C (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 60 | 54 | $1,148 |
| Omeprazole | Generic | 58 | 27 | $1,135 |
| Pantoprazole Sodium | Generic | 49 | 17 | $1,148 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 36 | 35 | $2,952 |
| Famotidine | Generic | 21 | 0 | $567 |
| Esomeprazole Magnesium | Generic | 20 | 0 | $1,403 |
| Linzess (Linaclotide) | Brand | 16 | 0 | $15,079 |
Frequently asked questions
What is Dr. Francesca Raffa's medical specialty?
Dr. Francesca Raffa practices Gastroenterology Physician in Doral, FL.
Where does Dr. Francesca Raffa practice?
Dr. Francesca Raffa practices at 8375 Nw 53Rd St, Doral, FL 331664611. Office phone: 3052438644.
What is Dr. Francesca Raffa's NPI?
Dr. Francesca Raffa's National Provider Identifier (NPI) is 1164876165, issued by NPPES.
Does Dr. Francesca Raffa accept Medicare assignment?
Yes. Dr. Francesca Raffa accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Francesca Raffa commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.