RAFAEL J ARCONE MD
NPI 1306007463
Obstetrics & Gynecology in Miami, FL

Q: What is Rafael Arcone's NPI number?

The NPI number for Rafael Arcone is 1306007463. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Q: What is Rafael Arcone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Arcone was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 21, 2008PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

8200 SW 117TH AVE STE 304, MIAMI, FL 33183(303) 226-5651(305) 226-2424 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2021, Feb 15, 2021, Mar 8, 2019 and 1 more (4 updates tracked since 2016).

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About Rafael J Arcone Md NPPES

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

RAFAEL J ARCONE MD (NPI 1306007463) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (148558) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2009).

NPPES Registry Identity

NPI1306007463

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameRAFAEL J ARCONECredential: MD

Location Address8200 SW 117TH AVE STE 304Miami, FL 33183-4826

Mailing Address79 Sw 12th St Apt 1405Miami, FL 33130-5203 · (951) 236-4992

Phone(303) 226-5651

Fax(305) 226-2424

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2009

Enumeration DateJune 21, 2008

Last NPPES UpdateMarch 8, 20214 updates tracked since enumeration

NPPES CertifiedMarch 8, 2021

✔ NPI 1306007463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · 148558

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

8200 SW 117TH AVE STE 304, Miami, FL 33183

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

Rafael J Arcone Md 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 ID1254556103

PECOS Enrollment IDI20210226001556

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

89.67/100

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

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

Reported Quality Measures

Breast Cancer Screening

83%120 patients4/55-star benchmark: 93%

Cervical Cancer Screening

92%1,040 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

22%261 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

44%210 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

43%23 patients2/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

61%23 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%2,358 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

34%644 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

56%2,007 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 48% · 963 patients

47%963 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

CARLOS LUIS MARTINEZ M.D

Obstetrics & Gynecology