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

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: August 16, 2026.

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
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

Other Identifiers 3

Medicaid052791200FL
Medicare UPINE28643
Medicare PIN11475TFL

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 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.

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

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
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

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.

Physical Therapist
400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086
Physician Assistant
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Emergency Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: ST. JOHNS RADIOLOGY ASSOCIATES
ST AUGUSTINE, FL 32086
Internal Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Pediatrics (Neonatal-Perinatal Medicine)
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Nurse Anesthetist, Certified Registered
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

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.

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.