Doctor profile · Federal record
Dr. Marc Rafols, MD
Surgery Physician (CMS: General Surgery) · Student in an Organized Health Care Education/Training Program · Miami Beach, FL
- NPI 1366893976
- Accepts Medicare
- MIPS 93.3 / 100 · 2023
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4300 Alton RD
Miami Beach, FL 331402948
(786) 239-1572 - Mailing address
-
4300 Alton Road
Miami Beach, FL 33140
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Profile last updated
- June 16, 2021
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Florida #150479
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366893976. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
153
Distinct HCPCS
5
Medicare allowed
$12,673
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 71 | 35 | $55 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 44 | 24 | $96 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $141 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $121 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 11 | 11 | $92 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 43. This provider delivers 3.6× the peer median.Open Payments
Industry payments received
All-time total
$145
Transactions
5
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lexicon Pharmaceuticals, Inc. | 1 | $33.60 | |
| TELA Bio, Inc. | 1 | $29.98 | |
| Integra LifeSciences Corporation | 1 | $29.83 | |
| Kerecis Limited | 1 | $29.11 | |
| Solventum Corporation | 1 | $22.95 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
33
Patients
20
Total drug cost
$213
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 20 | 20 | $97 |
| Gabapentin | Generic | 13 | 0 | $116 |
Hospital affiliations
Frequently asked questions
What is Dr. Marc Rafols's medical specialty?
Dr. Marc Rafols practices Surgery Physician in Miami Beach, FL.
Where does Dr. Marc Rafols practice?
Dr. Marc Rafols practices at 4300 Alton RD, Miami Beach, FL 331402948. Office phone: 7862391572.
What is Dr. Marc Rafols's NPI?
Dr. Marc Rafols's National Provider Identifier (NPI) is 1366893976, issued by NPPES.
Does Dr. Marc Rafols accept Medicare assignment?
Yes. Dr. Marc Rafols accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Marc Rafols commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Established patient office or other outpatient visit (HCPCS 99213); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.