RAFAEL APONTELOPEZ M.D.
NPI 1265400428
Radiology - Vascular & Interventional Radiology in St Augustine, FL

Q: What is Rafael Apontelopez's NPI number?

The NPI number for Rafael Apontelopez is 1265400428. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Rafael Apontelopez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since March 14, 2006PECOS Enrolled

87.63/100

CMS Quality Rating

400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT, ST AUGUSTINE, FL 32086(904) 819-4398(904) 819-4976 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Rafael Apontelopez M.d. NPPES

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

RAFAEL APONTELOPEZ M.D. (NPI 1265400428) is an individual vascular & interventional radiology provider in St Augustine, Florida, licensed in Florida (ME57512) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265400428

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameRAFAEL APONTELOPEZCredential: M.D.

Location Address400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENTSt Augustine, FL 32086-5784

Mailing Address400 Health Park Blvd, Attn: Radiology DepartmentSt Augustine, FL 32086-5784 · (904) 819-4398 · Fax (904) 819-4976

Phone(904) 819-4398

Fax(904) 819-4976

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateMay 16, 2012

✔ NPI 1265400428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in FL · ME57512

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME57512 (FL)

400 HEALTH PARK BLVD, St Augustine, FL 32086

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Other Identifiers 3

Medicaid052791200FL

Medicare UPINE28643

Medicare PIN11475TFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Apontelopez 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.

Medicare Billing Reassignments

Medicare enrollment records show Rafael Apontelopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mori Bean And Brooks Inc

146 mi

Diagnostic Radiology

1 TAMPA GENERAL CIR
Tampa, FL 33606

Reassigned Medicare billing, Florida enrollment
1,130 clinicians in this Medicare group

NPI 1093782070 (904) 236-5884

Northside Radiology Associates LLC

331 mi

Diagnostic Radiology

1000 JOHNSON FERRY RD
Atlanta, GA 30342

Reassigned Medicare billing, Florida enrollment
127 clinicians in this Medicare group

NPI 1013960657 (404) 662-2438

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 23

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

1,282 services1,190 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

317 services310 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

212 services211 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

168 services167 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

105 services103 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

97 services96 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

97 services97 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

80 services80 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

79 services78 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

59 services59 patients

Mri scan of lower spinal canal without contrast 72148

53 services53 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

50 services50 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

44 services44 patients

Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast 0042T

A computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast is a non-invasive exam. It uses X-rays and a contrast material to create detailed images of your brain. It helps evaluate blood flow patterns and detect abnormalities like clots or blockages.

42 services42 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

35 services35 patients

Mri scan of upper spinal canal without contrast 72141

26 services26 patients

Mri scan of brain without contrast 70551

23 services23 patients

Ct scan head or brain without contrast 70450

21 services21 patients

Mri scan of brain before and after contrast 70553

17 services15 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

17 services17 patients

Mri scan of blood vessels of head without contrast 70544

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

14 services14 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

12 services12 patients

Ct scan of soft tissue of neck with contrast 70491

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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.

87.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.35

Promoting Interoperability

88.33

Improvement Activities

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.

HEATHER LESHANE P.T.

Physical Therapist

400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-4374

MANDANA DAVANI M.D.

Radiology (Diagnostic Radiology)

400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-4398

DAVID S GOINS PA

Physician Assistant

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-4700

TERESA M MAZUR MD

Emergency Medicine

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-4700

RIPP A SMITH M.D.

Radiology (Diagnostic Radiology)

400 HEALTH PARK BLVD, ATTN: ST. JOHNS RADIOLOGY ASSOCIATES
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4398

HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.

Internal Medicine

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (615) 377-5658

MR. GARY WAYNE CATER D.O.

Pediatrics (Neonatal-Perinatal Medicine)

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4478

EMILY MCCARTHY

Nurse Anesthetist, Certified Registered

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-5155

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 Apontelopez's NPI number?

The NPI number for Rafael Apontelopez is 1265400428. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Rafael Apontelopez located?

Rafael Apontelopez practices at 400 Health Park Blvd Attn: Radiology Department, St Augustine, FL 32086. The listed phone number is (904) 819-4398.

What is Rafael Apontelopez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Rafael Apontelopez enrolled in Medicare?

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

Which organizations bill Medicare for Rafael Apontelopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Apontelopez reassigns Medicare benefits to 2 organizations: Mori Bean And Brooks Inc (Tampa, FL) and Northside Radiology Associates LLC (Atlanta, GA). 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 Rafael Apontelopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Apontelopez accept?

Health plans from Oscar Insurance Company list Rafael Apontelopez 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 Apontelopez was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.