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MR. RAPHAEL BONES
NPI 1326069857
Internal Medicine in Orlando, FL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
8624 LEE VISTA BLVD STE 132, ORLANDO, FL 32829(407) 720-3209(407) 251-9386 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Raphael Bones NPPES

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

MR. RAPHAEL BONES (NPI 1326069857) is an individual internal medicine provider in Orlando, Florida, licensed in Puerto Rico (14143) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (2000).

NPPES Registry Identity

NPI1326069857
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. RAPHAEL BONES
Location Address8624 LEE VISTA BLVD STE 132Orlando, FL 32829-8310
Mailing Address7800 W Oakland Park Blvd, Suite E-214Sunrise, FL 33351-6741 · (954) 318-6590 · Fax (954) 318-6604
Phone(407) 720-3209
Fax(407) 251-9386
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2000
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1326069857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PR · 14143✔ Licensed in FL · ME116549
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8624 LEE VISTA BLVD STE 132, Orlando, FL 32829
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Raphael Bones 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 ID9436149960
PECOS Enrollment IDI20140203000028
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 Reassignment

Medicare enrollment records show Raphael Bones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prixus Medical Group LLC
Same address
Internal Medicine
8624 LEE VISTA BLVD
Orlando, FL 32829
  • Reassigned Medicare billing, Florida enrollment
NPI 1881065324 (787) 671-0051

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 6

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.
143 services37 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.
52 services27 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
33 services15 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
28 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32829 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Raphael Bones's NPI number?

The NPI number for Raphael Bones is 1326069857. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Raphael Bones located?

Raphael Bones practices at 8624 Lee Vista Blvd Ste 132, Orlando, FL 32829. The listed phone number is (407) 720-3209.

What is Raphael Bones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raphael Bones enrolled in Medicare?

Yes. Raphael Bones 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.

Which organization bills Medicare for Raphael Bones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Bones reassigns Medicare benefits to Prixus Medical Group LLC (Orlando, FL). The 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 Raphael Bones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphael Bones accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Oscar Health Maintenance Organization of Florida and Wellpoint list Raphael Bones 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 Raphael Bones was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.