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DR. RAFAEL QUINONES MD
NPI 1013929439
Surgery in Port St Lucie, FL

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.3/100
CMS Quality Rating
295 NW PEACOCK BLVD, PORT ST LUCIE, FL 34986(800) 991-6117(888) 812-8191 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2020, Feb 25, 2019, Jul 25, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Rafael Quinones Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAFAEL QUINONES MD (NPI 1013929439) is an individual surgery provider in Port St Lucie, Florida, licensed in Florida (ME106124) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1013929439
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAFAEL QUINONESCredential: MD
Location Address295 NW PEACOCK BLVDPort St Lucie, FL 34986-2212
Mailing Address3810 Northdale Blvd Ste 150Tampa, FL 33624-1871 · (813) 961-1331 · Fax (888) 812-8191
Phone(800) 991-6117
Fax(888) 812-8191
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 15, 20205 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1013929439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME106124✔ Licensed in MI · RQ075615
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License ME106124 (FL)
295 NW PEACOCK BLVD, Port St Lucie, FL 34986
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Quinones Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305948688
PECOS Enrollment IDI20100217000797
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
326 services89 patients
Insertion of tube into vein, first order branch 36011
This procedure involves placing a tube into your vein's first branch. It's done to administer medications, fluids, or collect blood samples. You might feel a slight prick when the needle is inserted, but it's generally painless.
317 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services164 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
226 services77 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
218 services161 patients
Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
137 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability91
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDALL COREY OREM D.O.
Internal Medicine (Cardiovascular Disease)
295 NW PEACOCK BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (800) 991-6117
DR. FORREST SCOT RUBENSTEIN M.D.
Surgery (Vascular Surgery)
295 NW PEACOCK BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (800) 991-6117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Quinones's NPI number?

The NPI number for Rafael Quinones is 1013929439. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Rafael Quinones located?

Rafael Quinones practices at 295 NW Peacock Blvd, Port St Lucie, FL 34986. The listed phone number is (800) 991-6117.

What is Rafael Quinones's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Quinones enrolled in Medicare?

Yes. Rafael Quinones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Quinones accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Rafael Quinones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafael Quinones was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.