DR. RAFAEL PAULA MD
NPI 1033315940
Hospitalist in Fort Myers, FL

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
9981 S HEALTHPARK DR, FORT MYERS, FL 33908(239) 343-2052(239) 343-5348 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2021, Oct 7, 2020, Dec 2, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Rafael Paula Md NPPES

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

DR. RAFAEL PAULA MD (NPI 1033315940) is an individual hospitalist provider in Fort Myers, Florida, licensed in Florida (ME106805) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033315940
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RAFAEL PAULACredential: MD
Location Address9981 S HEALTHPARK DRFort Myers, FL 33908
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-2052 · Fax (239) 343-5348
Fax(239) 343-5348
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 26, 2007
Last NPPES UpdateMarch 29, 20215 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
NPI 1033315940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME106805
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME106805 (FL)
9981 S HEALTHPARK DR, Fort Myers, FL 33908

Secondary Practice Locations 3

Location 19981 S Healthpark DrFort Myers, FL 33908 · Phone (239) 343-2052 · Fax (239) 343-5348
Location 22390 W Congress StLafayette, LA 70506-4205 · Phone (337) 261-6000
Location 321297 Olean Blvd Ste APort Charlotte, FL 33952 · Phone (855) 979-5700

Other Identifiers 1

Medicaid002616600FL

Accepted 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 Paula 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 ID7911035290
PECOS Enrollment IDI20101019000084
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
584 services209 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
132 services130 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$17.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR, SUITE 281
FORT MYERS, FL 33908
Clinic/Center (Ambulatory Surgical)
9981 S HEALTHPARK DR, SUITE 259
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal, Critical Care)
9981 S HEALTHPARK DR, NICU
FORT MYERS, FL 33908
Radiologic Technologist (Magnetic Resonance Imaging)
9981 S HEALTHPARK DR, MRI SUITE
FORT MYERS, FL 33908
Genetic Counselor, MS
9981 S HEALTHPARK DR, SUITE 159
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal, Critical Care)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics
9981 S HEALTHPARK DR
FORT MYERS, FL 33908

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 Paula's NPI number?

The NPI number for Rafael Paula is 1033315940. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Rafael Paula located?

Rafael Paula practices at 9981 S Healthpark Dr, Fort Myers, FL 33908. The listed phone number is (239) 343-2052.

What is Rafael Paula's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rafael Paula enrolled in Medicare?

Yes. Rafael Paula 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 Paula accept?

Health plans from AvMed list Rafael Paula 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.

Is Rafael Paula affiliated with any hospitals?

According to CMS data, Rafael Paula is affiliated with Lee Memorial Hospital and Gulf Coast Medical Center Lee Health.

When was this NPI record last updated?

The NPPES record for Rafael Paula was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.