DR. RAFAEL L. FIGUEROA MD
NPI 1568467462
Radiology - Diagnostic Radiology in Metairie, LA

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
96/100
CMS Quality Rating
4200 HOUMA BLVD, METAIRIE, LA 70006(504) 454-4133(504) 456-8125 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rafael L. Figueroa Md NPPES

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

DR. RAFAEL L. FIGUEROA MD (NPI 1568467462) is an individual diagnostic radiology provider in Metairie, Louisiana, licensed in Louisiana (023284) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of University Of Puerto Rico School Of Medicine (1996).

NPPES Registry Identity

NPI1568467462
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RAFAEL L. FIGUEROACredential: MD
Location Address4200 HOUMA BLVDMetairie, LA 70006-2970
Mailing AddressPo Box 8090Metairie, LA 70011-8090 · (504) 454-4133 · Fax (504) 456-8125
Fax(504) 456-8125
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1996
Enumeration DateJune 16, 2005
Last NPPES UpdateFebruary 21, 2008
NPI 1568467462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in LA · 023284
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4200 HOUMA BLVD, Metairie, LA 70006

Other Identifiers 3

Medicare UPINH49251
Medicare PIN4A766LA
Medicaid1496642LA

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

Dr. Rafael L. Figueroa 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 ID3173611308
PECOS Enrollment IDI20100916000645
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 59

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
836 services581 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
359 services338 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
263 services263 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
133 services117 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
102 services101 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
69 services66 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.01
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
100%590 patients
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.

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.

Radiology (Diagnostic Radiology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Pathology (Anatomic Pathology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Ambulance
4200 HOUMA BLVD
METAIRIE, LA 70006
Nurse Practitioner (Family)
4200 HOUMA BLVD
METAIRIE, LA 70006
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD
METAIRIE, LA 70006
Emergency Medicine (Emergency Medical Services)
4200 HOUMA BLVD, EMERGENCY ROOM
METARIE, LA 70006
Nurse Anesthetist, Certified Registered
4200 HOUMA BLVD
METAIRIE, LA 70006
Emergency Medicine
4200 HOUMA BLVD
METAIRIE, LA 70006

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 Figueroa's NPI number?

The NPI number for Rafael Figueroa is 1568467462. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Rafael Figueroa located?

Rafael Figueroa practices at 4200 Houma Blvd, Metairie, LA 70006. The listed phone number is (504) 454-4133.

What is Rafael Figueroa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rafael Figueroa enrolled in Medicare?

Yes. Rafael Figueroa 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 Figueroa accept?

Health plans from HMO Louisiana list Rafael Figueroa 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 Figueroa affiliated with any hospitals?

According to CMS data, Rafael Figueroa is affiliated with University Medical Center New Orleans, Ochsner Medical Center Acute, West Jefferson Medical Center, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Figueroa was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.