RAFAEL L PEREZ M.D.
NPI 1063423267
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since August 11, 2006PECOS Enrolled
834 WALNUT ST STE 650, PHILADELPHIA, PA 19107(215) 955-5161(215) 923-6003 Get Directions Write a Review

NPPES record last updated: October 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael L Perez M.d. NPPES

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

RAFAEL L PEREZ M.D. (NPI 1063423267) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD465958) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1063423267
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAFAEL L PEREZCredential: M.D.
Location Address834 WALNUT ST STE 650Philadelphia, PA 19107
Mailing Address834 Walnut St Ste 650Philadelphia, PA 19107-5109 · (215) 955-5161 · Fax (215) 923-6003
Fax(215) 923-6003
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 26, 2018
NPI 1063423267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in PA · MD465958 Licensed in GA · 028202
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
834 WALNUT ST STE 650, Philadelphia, PA 19107

Secondary Practice Location 1

Location 1501 E Broadway, STE 220Louisville, KY 40202-1785 · Phone (502) 589-4856 · Fax (502) 589-5093

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 (PECOS)

Rafael L Perez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11

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.

Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
274 services268 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
248 services244 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
155 services154 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
150 services144 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services96 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.
92 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers81 claims81 services$13.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
7 suppliers89 claims89 services$3.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
10 suppliers149 claims149 services$64.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
6 suppliers35 claims35 services$32.23 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
8 suppliers23 claims690 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
14 suppliers37 claims37 services$26.00 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 15

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

Nurse Practitioner (Critical Care Medicine)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Internal Medicine (Pulmonary Disease)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Internal Medicine (Pulmonary Disease)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Internal Medicine
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Thoracic Surgery (Cardiothoracic Vascular Surgery)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Internal Medicine (Critical Care Medicine)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107
Internal Medicine (Pulmonary Disease)
834 WALNUT ST STE 650
PHILADELPHIA, PA 19107

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 Perez's NPI number?

The NPI number for Rafael Perez is 1063423267. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Rafael Perez located?

Rafael Perez practices at 834 Walnut St Ste 650, Philadelphia, PA 19107. The listed phone number is (215) 955-5161.

What is Rafael Perez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rafael Perez enrolled in Medicare?

Yes. Rafael Perez is registered in the Medicare PECOS enrollment system.

What insurance does Rafael Perez accept?

Health plans from CareSource list Rafael Perez 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 Perez was last updated on October 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.