Doctor profile · Federal record

Dr. Rafael Cortes, MD

Gastroenterology Physician (CMS: Gastroenterology) · St Augustine, FL

  • NPI 1770729816
  • Accepts Medicare
  • MIPS 77.2 / 100 · 2023
  • 22 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
100 Whetstone Pl, Suite 105
St Augustine, FL 320865774
(904) 829-9557
fax (904) 829-9125
Mailing address
4800 Belfort RD
Jacksonville, FL 322566004

Credentials & registration

NPPES · NUCC
NPI registered
December 2008 — 18 yrs on file
Profile last updated
June 11, 2015
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
207RG0100X — NUCC code
State license (1)
Florida #ME90959
Medicaid
FL #001047300

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1770729816. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,428
Distinct HCPCS
10
Medicare allowed
$185,437
HCPCS Description Services Patients Avg allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,240 11 $33
99213 Established patient office or other outpatient visit, 20-29 minutes 158 131 $90
99214 Established patient office or other outpatient visit, 30-39 minutes 142 120 $127
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 142 78 $80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare 117 115 $250
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 110 103 $95
45380 Biopsy of large bowel using a flexible endoscope 101 100 $125
99204 New patient office or other outpatient visit, 45-59 minutes 97 97 $167
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 73 69 $132
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 44 33 $120

In context: peer comparison

Among 6 peers in this city , average services per provider: 106. This provider delivers 23× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,817
Transactions
94
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 30 $559.21
Takeda Pharmaceuticals U.S.A., Inc. 11 $185.85
Salix Pharmaceuticals, a division of Bausch Health US, LLC 11 $161.00
GENZYME CORPORATION 5 $123.66
Merck Sharp & Dohme LLC 5 $86.83
Regeneron Healthcare Solutions, Inc. 4 $78.02
Ipsen Biopharmaceuticals, Inc 3 $66.14
Madrigal Pharmaceuticals 4 $65.82
Janssen Biotech, Inc. 4 $62.31
Braintree Laboratories, Inc. 3 $60.45
PFIZER INC. 4 $60.02
AIMMUNE THERAPEUTICS, INC. 4 $59.58
Lilly USA, LLC 3 $58.74
QOL Medical, LLC 2 $48.88
EVOKE PHARMA, INC. 1 $41.63

By nature of payment

Food and Beverage
$1,817

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
626
Patients
196
Total drug cost
$113,365
Drug Type Claims Patients Total cost
Pantoprazole Sodium Generic 161 47 $2,204
Omeprazole Generic 146 41 $1,884
Plenvu (Peg3350/Sod Sul/Nacl/Kcl/Asb/C) Brand 64 62 $8,952
Linzess (Linaclotide) Brand 59 15 $41,580
Mesalamine Generic 23 0 $11,458
Dicyclomine Hcl Generic 20 12 $310
Sutab (Sod Sulf/Pot Chloride/Mag Sulf) Brand 20 19 $3,398
Famotidine Generic 19 0 $225
Sucralfate Generic 19 0 $402
Esomeprazole Magnesium Generic 18 0 $402

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Rafael Cortes's medical specialty?
Dr. Rafael Cortes practices Gastroenterology Physician in St Augustine, FL.
Where does Dr. Rafael Cortes practice?
Dr. Rafael Cortes practices at 100 Whetstone Pl, St Augustine, FL 320865774. Office phone: 9048299557.
What is Dr. Rafael Cortes's NPI?
Dr. Rafael Cortes's National Provider Identifier (NPI) is 1770729816, issued by NPPES.
Does Dr. Rafael Cortes accept Medicare assignment?
Yes. Dr. Rafael Cortes accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Cortes commonly perform?
Top Medicare-reported procedures in 2023: Injection, infliximab, excludes biosimilar, 10 mg (HCPCS J1745); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.