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RAFAEL GUSTAVO BARCIA MD
NPI 1528009461
Family Medicine in Arverne, NY

Active since June 10, 2006PECOS Enrolled
6200 BEACH CHANNEL DR, ARVERNE, NY 11692(516) 945-7150(718) 945-2596 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rafael Gustavo Barcia Md NPPES

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

RAFAEL GUSTAVO BARCIA MD (NPI 1528009461) is an individual family medicine provider in Arverne, New York, licensed in New York (116204) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528009461
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAFAEL GUSTAVO BARCIACredential: MD
Location Address6200 BEACH CHANNEL DRArverne, NY 11692-1409
Mailing Address6200 Beach Channel DrArverne, NY 11692-1409 · (516) 945-7150 · Fax (718) 945-2596
Phone(516) 945-7150
Fax(718) 945-2596
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1528009461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 116204
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6200 BEACH CHANNEL DR, Arverne, NY 11692
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Other Identifiers 1

Medicaid00335713NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Gustavo Barcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2024 & 2026 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, 20-29 minutes 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.
182 services83 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services23 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
26 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11692 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

DR. ALFONSO YU CHAN MD
Internal Medicine (Cardiovascular Disease)
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-7150
CHO CHO HAN M.D.
Internal Medicine
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-7150
DR. ROSELIA GUILLEN-SANTANA M.D.
Pediatrics
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-7150
MS. XAVIERA ELSIE ROMERO LCSW
Social Worker (Clinical)
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-7150
MS. KATHLEEN M LYNCH GAFFNEY LCSW
Social Worker (Clinical)
6200 BEACH CHANNEL DR, JOSEPH P ADDABBO FAMILY HEALTH
ARVERNE, NY 11692
Queens County (718) 945-7150
MR. PABLO ABREU LCSW
Social Worker (Clinical)
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-7150
MR. MITESH PATEL RPH
Pharmacist
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-2400
LYUBOV MASHKABOVA DDS
Dentist (Dental Public Health)
6200 BEACH CHANNEL DR
ARVERNE, NY 11692
Queens County (718) 945-7150

Frequently Asked Questions

What is Rafael Barcia's NPI number?

The NPI number assigned to this healthcare provider is 1528009461, enumerated as an "individual" on June 10, 2006.

Where is the provider located?

The provider is located at 6200 BEACH CHANNEL DR ARVERNE, NY 11692 and the phone number is (516) 945-7150.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Rafael Barcia accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.