RAFAEL ENRIQUE PEREZ D.O.
NPI 1417376153
Surgery in Erie, PA

Q: What is Rafael Perez's NPI number?

The NPI number for Rafael Perez is 1417376153. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Rafael Perez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Perez was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment

79.55/100

CMS Quality Rating

300 STATE ST STE 401, ERIE, PA 16507(814) 877-4577(814) 455-3001 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rafael Enrique Perez D.o. NPPES

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

RAFAEL ENRIQUE PEREZ D.O. (NPI 1417376153) is an individual surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (OS020584) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417376153

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameRAFAEL ENRIQUE PEREZCredential: D.O.

Location Address300 STATE ST STE 401Erie, PA 16507-1438

Mailing Address300 State St Ste 401Erie, PA 16507-1438 · (814) 877-4577 · Fax (814) 455-3001

Phone(814) 877-4577

Fax(814) 455-3001

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 9, 2014

Last NPPES UpdateSeptember 3, 2021

NPPES CertifiedSeptember 3, 2021

✔ NPI 1417376153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · OS020584

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

300 STATE ST STE 401, Erie, PA 16507

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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 Enrique Perez D.o. 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 ID7214274299

PECOS Enrollment IDI20210809001805

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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services26 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.

19 services17 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.

15 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390113

Location751 Liberty StreetMeadville, PA 16335 · Crawford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

79.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.36

Promoting Interoperability

100

Improvement Activities

Cost

67.48

Referred Medical Equipment & Supplies CMS DME claims 7

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

2 suppliers12 claims170 services$3.34 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

3 suppliers25 claims25 services$3.38 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers13 claims260 services$4.92 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

3 suppliers13 claims144 services$2.51 avg. paid by Medicare

Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416

DME-Orthotic Devices · category DF010N

1 supplier12 claims690 services$2.43 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$9.26 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.

MATTHEW HEITZENRATER DO

Family Medicine

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-5333

CHRISTA MARY ALLEN CRNP

Nurse Practitioner (Family)

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-5330

ELENA KOVALEVICH CRNP

Nurse Practitioner

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-5330

HALEY MICHELLE ENGLERT PA-C

Physician Assistant (Surgical)

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-8680

KATHRYN CAWLEY

Physician Assistant (Surgical)

300 STATE ST STE 401, 4TH FLOOR, SUITE 401
ERIE, PA 16507

Erie County (814) 877-8370

GREGORY N BOWDEN M.D,

Neurological Surgery

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-5330

JEREMY GUY STONE M.D.

Neurological Surgery

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-5330

SARAH MARIE TROUP PA-C

Physician Assistant (Surgical)

300 STATE ST STE 401
ERIE, PA 16507

Erie County (814) 877-4577

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 Perez's NPI number?

The NPI number for Rafael Perez is 1417376153. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Rafael Perez located?

Rafael Perez practices at 300 State St Ste 401, Erie, PA 16507. The listed phone number is (814) 877-4577.

What is Rafael Perez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Perez enrolled in Medicare?

Yes. Rafael Perez 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.

Is Rafael Perez affiliated with any hospitals?

According to CMS data, Rafael Perez is affiliated with Upmc Hamot and Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Perez was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.