VERONICA RAFOLS PA
NPI 1235854993
Physician Assistant in Weslaco, TX

Active since October 05, 2022PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1315 E 6TH ST STE 10, WESLACO, TX 78596(956) 296-2821 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2025, Nov 15, 2024, Oct 5, 2022 (3 updates tracked since 2022).

About Veronica Rafols Pa NPPES

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

VERONICA RAFOLS PA (NPI 1235854993) is an individual physician assistant in Weslaco, Texas, licensed in Texas (PA15902) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mcallen, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235854993
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVERONICA RAFOLSCredential: PA
Location Address1315 E 6TH ST STE 10Weslaco, TX 78596-6658
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2022
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1235854993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA15902
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1315 E 6TH ST STE 10, Weslaco, TX 78596

Secondary Practice Location 1

Location 11400 N Commerce Ctr Ste 2.350McAllen, TX 78501-3185 · Phone (956) 296-4900

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

Veronica Rafols Pa 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 ID7911377437
PECOS Enrollment IDI20221228000087
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 5

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.

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.
57 services37 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
39 services21 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
25 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
1315 E 6TH ST STE 10
WESLACO, TX 78596
Orthopaedic Surgery (Foot and Ankle Surgery)
1315 E 6TH ST STE 10
WESLACO, TX 78596
Family Medicine (Sports Medicine)
1315 E 6TH ST STE 10
WESLACO, TX 78596
Orthopaedic Surgery (Sports Medicine)
1315 E 6TH ST STE 10
WESLACO, TX 78596

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 Veronica Rafols's NPI number?

The NPI number for Veronica Rafols is 1235854993. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Veronica Rafols located?

Veronica Rafols practices at 1315 E 6th St Ste 10, Weslaco, TX 78596. The listed phone number is (956) 296-2821.

What is Veronica Rafols's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Veronica Rafols enrolled in Medicare?

Yes. Veronica Rafols 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 Veronica Rafols accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Veronica Rafols 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 Veronica Rafols was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.