RAFIK BEN ABDA D.O
NPI 1205195146
Radiology - Diagnostic Radiology in The Villages, FL

Active since May 13, 2012PECOS EnrolledAccepts Medicare Assignment
96.88/100
CMS Quality Rating
2955 BROWNWOOD BLVD STE 112, THE VILLAGES, FL 32163(352) 787-5858 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2022, May 27, 2021, Feb 19, 2018 and 2 more (5 updates tracked since 2017).

About Rafik Ben Abda D.o NPPES

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

RAFIK BEN ABDA D.O (NPI 1205195146) is an individual diagnostic radiology provider in The Villages, Florida, licensed in Florida (OS18277) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Leesburg, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205195146
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameRAFIK BEN ABDACredential: D.O
Location Address2955 BROWNWOOD BLVD STE 112The Villages, FL 32163-2040
Mailing Address734 N 3rd St Ste 115Leesburg, FL 34748-5287 · (352) 365-2583 · Fax (352) 728-6744
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 13, 2012
Last NPPES UpdateJuly 8, 20225 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1205195146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · OS18277✔ Licensed in GA · 079189
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License OS18277 (FL)
2955 BROWNWOOD BLVD STE 112, The Villages, FL 32163

Secondary Practice Location 1

Location 1801 E Dixie Ave Ste 104Leesburg, FL 34748-7601 · Phone (352) 787-5858

Other Identifiers 1

Medicaid114126700FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafik Ben Abda D.o 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 ID8921221599
PECOS Enrollment IDI20220510000690
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rafik Ben Abda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
600 E DIXIE AVE
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
Diagnostic Radiology
801 E DIXIE AVE STE 104
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
Medical Oncology
1871 S.E. TIFFANY AVENUE, SUITE #100
Port St Lucie, FL 34952
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 139

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
39,716 services575 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
32,266 services204 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
2,776 services166 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,088 services938 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
982 services954 patients
Injection, gadobenate dimeglumine (multihance), per ml A9577
Gadobenate Dimeglumine (MultiHance) is a contrast agent used in MRI scans. Injected into your body, it helps to enhance the quality of the images captured during the scan. It aids in highlighting differences between normal and abnormal tissues, making diagnosis easier and more accurate.
510 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32163 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

96.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92
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.

Radiology (Diagnostic Radiology)
2955 BROWNWOOD BLVD STE 112
THE VILLAGES, FL 32163
Physician Assistant (Surgical)
2955 BROWNWOOD BLVD STE 112
THE VILLAGES, FL 32163

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 Rafik Ben Abda's NPI number?

The NPI number for Rafik Ben Abda is 1205195146. It was assigned to this individual provider in the NPPES registry on May 13, 2012.

Where is Rafik Ben Abda located?

Rafik Ben Abda practices at 2955 Brownwood Blvd Ste 112, The Villages, FL 32163. The listed phone number is (352) 787-5858.

What is Rafik Ben Abda's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rafik Ben Abda enrolled in Medicare?

Yes. Rafik Ben Abda 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.

Which organizations bill Medicare for Rafik Ben Abda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafik Ben Abda reassigns Medicare benefits to 3 organizations: Radiology Associates Of Central Florida L L C (Leesburg, FL), Lake Medical Imaging And Breast Center At The Villages LLC (Leesburg, FL) and Hem Onc Associates Of The Treasure Coast, PA (Port St Lucie, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafik Ben Abda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafik Ben Abda accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Rafik Ben Abda 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 Rafik Ben Abda was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.