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DR. RAFAEL F RIVAS-CHACON M.D.
NPI 1306875075
Internal Medicine - Rheumatology in Miami, FL

Active since July 03, 2006PECOS Enrolled
100/100
CMS Quality Rating
3200 SW 60TH CT STE 105, MIAMI, FL 33155(305) 663-8505(305) 663-6878 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About Dr. Rafael F Rivas-chacon M.d. NPPES

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

DR. RAFAEL F RIVAS-CHACON M.D. (NPI 1306875075) is an individual rheumatology provider in Miami, Florida, licensed in Florida (ME0048624) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306875075
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RAFAEL F RIVAS-CHACONCredential: M.D.
Location Address3200 SW 60TH CT STE 105Miami, FL 33155-4069
Mailing AddressPo Box 431169South Miami, FL 33243-1169 · (305) 663-8585
Phone(305) 663-8505
Fax(305) 663-6878
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1306875075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME0048624
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3200 SW 60TH CT STE 105, Miami, FL 33155
Open in Google Maps ↗

Other Identifiers 1

Medicaid061811000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Dr. Rafael F Rivas-chacon 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 4

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,440 services16 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.
210 services80 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
23 services16 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%369 patients5/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%167 patients
Controlling High Blood Pressure
79%100 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,298 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%344 patients4/55-star benchmark: 100%
Hepatitis B Safety Screening
81%99 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,473 patients5/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
83%312 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Glucocorticoid Management
89%312 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
76%310 patients1/55-star benchmark: 100%
Safe Hydroxychloroquine Dosing
57%111 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
100%178 patients5/55-star benchmark: 98%
Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
97%38 patients4/55-star benchmark: 100%
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

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

MARIANA BOADA
Nurse Practitioner
3200 SW 60TH CT STE 105
MIAMI, FL 33155
Miami-Dade County (305) 663-8505

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 Rivas-chacon's NPI number?

The NPI number for Rafael Rivas-chacon is 1306875075. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Rafael Rivas-chacon located?

Rafael Rivas-chacon practices at 3200 SW 60th Ct Ste 105, Miami, FL 33155. The listed phone number is (305) 663-8505.

What is Rafael Rivas-chacon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Rafael Rivas-chacon enrolled in Medicare?

Yes. Rafael Rivas-chacon is registered in the Medicare PECOS enrollment system.

What insurance does Rafael Rivas-chacon accept?

Health plans from AvMed list Rafael Rivas-chacon 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 Rivas-chacon was last updated on March 29, 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.