DR. RAFAEL E GARCIA-OCASIO M.D
NPI 1356775530
Obstetrics & Gynecology in Hialeah, FL

Q: What is Rafael Garcia-ocasio's NPI number?

The NPI number for Rafael Garcia-ocasio is 1356775530. It was assigned to this individual provider in the NPPES registry on August 24, 2013.

Q: What is Rafael Garcia-ocasio's specialty?

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

Active since August 24, 2013PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

2300 W 84TH ST STE 500, HIALEAH, FL 33016(305) 512-4858 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Rafael E Garcia-ocasio M.d NPPES

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

DR. RAFAEL E GARCIA-OCASIO M.D (NPI 1356775530) is an individual obstetrics & gynecology provider in Hialeah, Florida, licensed in Florida (ME134257) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356775530

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. RAFAEL E GARCIA-OCASIOCredential: M.D

Location Address2300 W 84TH ST STE 500Hialeah, FL 33016

Mailing Address2300 W 84th St Ste 500Hialeah, FL 33016-5773 · (305) 512-4858

Phone(305) 512-4858

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 24, 2013

Last NPPES UpdateMay 22, 2018

✔ NPI 1356775530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in FL · ME134257✔ Licensed in PR · 29562

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 29562 (PR)

2300 W 84TH ST STE 500, Hialeah, FL 33016

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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, Ambetter of Alabama 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

Dr. Rafael E Garcia-ocasio M.d 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 ID7810234010

PECOS Enrollment IDI20190125001962

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 33016 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

44%294 patients2/55-star benchmark: 93%

Cervical Cancer Screening

98%1,277 patients5/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

9%323 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

17%449 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

97%3,487 patients4/55-star benchmark: 100%

e-Prescribing

94%536 patients2/55-star benchmark: 100%

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

29%1,103 patients2/55-star benchmark: 98%

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

24%3,137 patients2/55-star benchmark: 61%

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

Patients screened: 72% · 1,405 patients

72%1,405 patients

Provide Patients Electronic Access to Their Health Information

90%488 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.

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Other Providers at the Same Location NPPES 6

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

DR. GABRIELA ISABEL GAUDIER-ALEMANY MD

Obstetrics & Gynecology