DR. RAFAEL TRESPALACIOS MD
NPI 1477503696
Ophthalmology in Melbourne, FL

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
665 S APOLLO BLVD, MELBOURNE, FL 32901(321) 984-3200(321) 984-2620 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rafael Trespalacios Md NPPES

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

DR. RAFAEL TRESPALACIOS MD (NPI 1477503696) is an individual ophthalmology provider in Melbourne, Florida, licensed in Florida (ME98468) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of University Of South Florida College Of Medicine (2002).

NPPES Registry Identity

NPI1477503696
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RAFAEL TRESPALACIOSCredential: MD
Location Address665 S APOLLO BLVDMelbourne, FL 32901-1485
Mailing Address665 S Apollo BlvdMelbourne, FL 32901-1485 · (321) 984-3200 · Fax (321) 984-2620
Fax(321) 984-2620
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2002
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 12, 2011
✔ NPI 1477503696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME98468✔ Licensed in IN · 01061809A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
665 S APOLLO BLVD, Melbourne, FL 32901

Other Identifiers 9

Medicare NSC0539980003FL
Medicare PINAD985ZFL
Medicare NSC0539980002FL
Medicare NSC0539980006FL
Medicaid278521800FL
Medicare PINP00447494FL
Medicare UPINI56215FL
Other14672FL · Bcbs Of Fl
Medicare NSC0539980004FL

Accepted 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

Dr. Rafael Trespalacios 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 ID4385647841
PECOS Enrollment IDI20070823000565
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 Rafael Trespalacios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
665 S APOLLO BLVD
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group

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 25

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.
632 services261 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
295 services59 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
284 services129 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
179 services34 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
176 services15 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
161 services34 patients

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.11

Other Providers at the Same Location NPPES 10

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

Physician Assistant
665 S APOLLO BLVD
MELBOURNE, FL 32901
Optometrist
665 S APOLLO BLVD
MELBOURNE, FL 32901
Ophthalmology
665 S APOLLO BLVD
MELBOURNE, FL 32901
Optometrist
665 S APOLLO BLVD
MELBOURNE, FL 32901
Ophthalmology
665 S APOLLO BLVD
MELBOURNE, FL 32901
Optometrist
665 S APOLLO BLVD
MELBOURNE, FL 32901
Clinic/Center (Ambulatory Surgical)
665 S APOLLO BLVD
MELBOURNE, FL 32901
Eyewear Supplier
665 S APOLLO BLVD
MELBOURNE, FL 32901

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 Trespalacios's NPI number?

The NPI number for Rafael Trespalacios is 1477503696. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Rafael Trespalacios located?

Rafael Trespalacios practices at 665 S Apollo Blvd, Melbourne, FL 32901. The listed phone number is (321) 984-3200.

What is Rafael Trespalacios's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rafael Trespalacios enrolled in Medicare?

Yes. Rafael Trespalacios 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 Rafael Trespalacios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Trespalacios reassigns Medicare benefits to Brevard Eye Center, Inc (Melbourne, 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 Rafael Trespalacios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Trespalacios accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 14 other insurers list Rafael Trespalacios 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 Trespalacios affiliated with any hospitals?

According to CMS data, Rafael Trespalacios is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Trespalacios was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.