RAFAEL J GAYTAN MD
NPI 1376602649
Internal Medicine - Clinical Cardiac Electrophysiology in Joplin, MO

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
100 MERCY WAY, SUITE 320-330, JOPLIN, MO 64804(417) 781-5387(417) 781-7174 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael J Gaytan Md NPPES

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

RAFAEL J GAYTAN MD (NPI 1376602649) is an individual clinical cardiac electrophysiology provider in Joplin, Missouri, licensed in Missouri (2006038051) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of Emory University School Of Medicine (1985).

NPPES Registry Identity

NPI1376602649
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameRAFAEL J GAYTANCredential: MD
Location Address100 MERCY WAY, SUITE 320-330Joplin, MO 64804-4524
Mailing Address100 Mercy Way, Suite 320-330Joplin, MO 64804-4524 · (417) 781-5387 · Fax (417) 781-7174
Fax(417) 781-7174
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1985
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 17, 2016
NPI 1376602649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in MO · 2006038051
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2006038051 (MO)
100 MERCY WAY, Joplin, MO 64804

Other Identifiers 6

Medicare UPIND39933
Medicaid206295701MO
Medicaid200418840CKS
OtherP00800214MO · Rail Road Medicare
Medicaid200101900AOK
Medicare PINMA2082050MO

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

Rafael J Gaytan 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 ID5395630354
PECOS Enrollment IDI20070206000207
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 31

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
905 services520 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
646 services391 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
630 services351 patients
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.
447 services344 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
347 services280 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
296 services59 patients

Hospital Affiliations CMS Care Compare 4

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261338
Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
100 MERCY WAY
JOPLIN, MO 64804
Nurse Practitioner (Family)
100 MERCY WAY
JOPLIN, MO 64804
Dietitian, Registered
100 MERCY WAY
JOPLIN, MO 64804
Registered Nurse
100 MERCY WAY
JOPLIN, MO 64804
Emergency Medicine
100 MERCY WAY
JOPLIN, MO 64804
Hospitalist
100 MERCY WAY
JOPLIN, MO 64804
Physician Assistant (Surgical)
100 MERCY WAY
JOPLIN, MO 64804
Registered Nurse
100 MERCY WAY
JOPLIN, MO 64804

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 Gaytan's NPI number?

The NPI number for Rafael Gaytan is 1376602649. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Rafael Gaytan located?

Rafael Gaytan practices at 100 Mercy Way Suite 320-330, Joplin, MO 64804. The listed phone number is (417) 781-5387.

What is Rafael Gaytan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Rafael Gaytan enrolled in Medicare?

Yes. Rafael Gaytan 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 Rafael Gaytan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Rafael Gaytan 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 Rafael Gaytan affiliated with any hospitals?

According to CMS data, Rafael Gaytan is affiliated with Via Christi Hospital Pittsburg Inc, Mercy Hospital Joplin, Freeman Health System - Freeman West and Mercy Hospital Carthage.

When was this NPI record last updated?

The NPPES record for Rafael Gaytan was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.