Doctor profile · Federal record
Dr. Rafael Garces, MD
Hospitalist Physician (CMS: Internal Medicine) · Miami, FL
- NPI 1538620414
- Accepts Medicare
- MIPS 78.7 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1611 Nw 12Th Ave
Miami, FL 331361005
(305) 585-1111
Credentials & registration
- NPI registered
- March 2019 — 7 yrs on file
- Profile last updated
- January 17, 2023
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State license (1)
- Florida #ME155793
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538620414. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
542
Distinct HCPCS
3
Medicare allowed
$49,277
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 466 | 103 | $85 | |
99239 |
Hospital discharge day management, more than 30 minutes | 53 | 52 | $123 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 23 | $141 |
In context: peer comparison
Among 70 peers in Miami Hospitalist Physician, average services per provider: 104. This provider delivers 5.2× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 1 | $20.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
38
Patients
12
Total drug cost
$9,990
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Eliquis (Apixaban) | Brand | 15 | 12 | $9,864 |
| Prednisone | Generic | 12 | 0 | $75 |
| Levofloxacin | Generic | 11 | 0 | $51 |
Frequently asked questions
What is Dr. Rafael Garces's medical specialty?
Dr. Rafael Garces practices Hospitalist Physician in Miami, FL.
Where does Dr. Rafael Garces practice?
Dr. Rafael Garces practices at 1611 Nw 12Th Ave, Miami, FL 331361005. Office phone: 3055851111.
What is Dr. Rafael Garces's NPI?
Dr. Rafael Garces's National Provider Identifier (NPI) is 1538620414, issued by NPPES.
Does Dr. Rafael Garces accept Medicare assignment?
Yes. Dr. Rafael Garces accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Garces commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.