ROBERTO RAFAEL ACOSTA MD
NPI 1346432051
Psychiatry & Neurology - Sleep Medicine in Loxahatchee, FL

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment
76.22/100
CMS Quality Rating
12957 PALMS WEST DR, SUITE 102, LOXAHATCHEE, FL 33470(561) 429-8189(561) 331-8492 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2023, Mar 23, 2021, Dec 17, 2019 and 1 more (4 updates tracked since 2015).

About Roberto Rafael Acosta Md NPPES

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

ROBERTO RAFAEL ACOSTA MD (NPI 1346432051) is an individual sleep medicine provider in Loxahatchee, Florida, licensed in Florida (ME105243) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1346432051
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameROBERTO RAFAEL ACOSTACredential: MD
Location Address12957 PALMS WEST DR, SUITE 102Loxahatchee, FL 33470-4932
Mailing Address9960 Nw 116th Way, Suite 13Medley, FL 33178-1167 · (786) 924-1311 · Fax (786) 924-1313
Fax(561) 331-8492
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 16, 2007
Last NPPES UpdateAugust 15, 20234 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1346432051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in FL · ME105243
Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME105243 (FL)
12957 PALMS WEST DR, Loxahatchee, FL 33470

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 and accepts Medicare assignment

Roberto Rafael Acosta 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 ID9032394580
PECOS Enrollment IDI20110426000765
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 14

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 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.
880 services291 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.
118 services118 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
91 services86 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
67 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

76.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Promoting Interoperability96
Improvement Activities40
Cost54.18

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers19 claims19 services$34.89 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers42 claims42 services$89.23 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers42 claims91 services$35.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers14 claims78 services$16.51 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims58 services$12.57 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers24 claims24 services$50.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Obstetrics & Gynecology (Gynecology)
12957 PALMS WEST DR, SUITE 102
LOXAHATCHEE, FL 33470
Obstetrics & Gynecology (Gynecology)
12957 PALMS WEST DR, SUITE 102
LOXAHATCHEE, FL 33470
Pediatrics (Pediatric Hematology-Oncology)
12957 PALMS WEST DR, SUITE 103
LOXAHATCHEE, FL 33470
Physician Assistant (Medical)
12957 PALMS WEST DR, STE 104
LOXAHATCHEE, FL 33470
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12957 PALMS WEST DR, SUITE 204
LOXAHATCHEE, FL 33470
Pediatrics
12957 PALMS WEST DR, BLDG 9, SUITE 101
LOXAHATCHEE, FL 33470
Social Worker (Clinical)
12957 PALMS WEST DR, SUITE 101
LOXAHATCHEE, FL 33470
Clinic/Center (Medical Specialty)
12957 PALMS WEST DR, SUITE 204
LOXAHATCHEE, FL 33470

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 Roberto Acosta's NPI number?

The NPI number for Roberto Acosta is 1346432051. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Roberto Acosta located?

Roberto Acosta practices at 12957 Palms West Dr Suite 102, Loxahatchee, FL 33470. The listed phone number is (561) 429-8189.

What is Roberto Acosta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Roberto Acosta enrolled in Medicare?

Yes. Roberto Acosta 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.

What insurance does Roberto Acosta accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Roberto Acosta 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.

Is Roberto Acosta affiliated with any hospitals?

According to CMS data, Roberto Acosta is affiliated with Good Samaritan Medical Center and Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Roberto Acosta was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.