Doctor profile · Federal record
Dr. Rafael Garcia, MD
Otolaryngology Physician (CMS: Otolaryngology) · Otolaryngology Physician · Hialeah, FL
- NPI 1740221761
- Accepts Medicare
- MIPS 87.6 / 100 · 2023
- 40 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7100 W 20Th Ave Ste 608
Hialeah, FL 33016
(305) 557-4016
fax (305) 828-0670 - Mailing address
-
15280 Nw 79Th CT Ste 200
Miami Lakes, FL 330165873
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- September 21, 2022
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State licenses (2)
- Florida #ME135257 · Texas #L4948
- Medicaid
- TX #152188201
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740221761. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
380
Distinct HCPCS
10
Medicare allowed
$33,057
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 115 | 79 | $97 | |
69210 |
Removal of impacted ear wax | 48 | 43 | $50 | |
92504 |
Exam of ear using a microscope | 38 | 30 | $31 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $123 | |
92550 |
Test for eardrum and muscle function | 25 | 25 | $23 | |
92557 |
Comprehensive hearing and speech recognition test | 25 | 25 | $39 | |
92588 |
Placement of ear probe for computerized measurement of repeated sounds with interpretation and report | 25 | 25 | $36 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 22 | 20 | $142 | |
31231 |
Diagnostic exam of nasal passages using an endoscope | 17 | 14 | $206 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $182 |
In context: peer comparison
Among 4 peers in Hialeah Otolaryngology Physician, average services per provider: 74. This provider delivers 5.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
744
Patients
284
Total drug cost
$26,550
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluocinolone Acetonide Oil | Generic | 176 | 71 | $11,824 |
| Fluticasone Propionate | Generic | 175 | 59 | $2,667 |
| Azelastine Hcl | Generic | 95 | 27 | $2,919 |
| Levocetirizine Dihydrochloride | Generic | 60 | 23 | $998 |
| Triamcinolone Acetonide | Generic | 51 | 28 | $750 |
| Ofloxacin | Generic | 47 | 25 | $2,461 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 19 | 17 | $66 |
| Benzonatate | Generic | 19 | 0 | $381 |
| Cevimeline Hcl | Generic | 17 | 0 | $1,723 |
| Mupirocin | Generic | 17 | 12 | $193 |
Frequently asked questions
What is Dr. Rafael Garcia's medical specialty?
Dr. Rafael Garcia practices Otolaryngology Physician in Hialeah, FL.
Where does Dr. Rafael Garcia practice?
Dr. Rafael Garcia practices at 7100 W 20Th Ave Ste 608, Hialeah, FL 33016. Office phone: 3055574016.
What is Dr. Rafael Garcia's NPI?
Dr. Rafael Garcia's National Provider Identifier (NPI) is 1740221761, issued by NPPES.
Does Dr. Rafael Garcia accept Medicare assignment?
Yes. Dr. Rafael Garcia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Garcia commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Removal of impacted ear wax (HCPCS 69210); Exam of ear using a microscope (HCPCS 92504). Source: CMS Medicare Physician & Other Practitioners file.