RAFAEL E CARRION MD
NPI 1588695894
Urology in Tampa, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
2 TAMPA GENERAL CIRCLE, STC 5TH FLOOR, TAMPA, FL 33606(813) 974-2201 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rafael E Carrion Md NPPES

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

RAFAEL E CARRION MD (NPI 1588695894) is an individual urology provider in Tampa, Florida, licensed in Florida (ME86141) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1997).

NPPES Registry Identity

NPI1588695894
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameRAFAEL E CARRIONCredential: MD
Location Address2 TAMPA GENERAL CIRCLE, STC 5TH FLOORTampa, FL 33606-3603
Mailing AddressPo Box 917770Orlando, FL 32891-7770
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1997
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 28, 2008
✔ NPI 1588695894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME86141
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2 TAMPA GENERAL CIRCLE, Tampa, FL 33606

Other Identifiers 5

Medicare UPINI13453FL
Medicare PINP00147840FL
Medicare PIN48023ZFL
Other48023FL · Blue Cross Blue Shield
Medicaid270149900FL

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

Rafael E Carrion 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 ID7810962289
PECOS Enrollment IDI20040830000341
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 Carrion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
17 DAVIS BLVD, 1ST FLOOR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 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 8

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.
191 services167 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.
107 services107 patients
Injection procedure to cause erection 54235
This procedure involves administering a medication into your body to stimulate blood flow. It's designed to aid specific physical responses, similar to how adrenaline can increase heart rate. The medication is introduced via a small needle, and the effects typically occur shortly after.
43 services39 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
38 services37 patients
Complete ultrasound of penis artery and vein blood flow 93980
This procedure involves using sound waves to create images of your blood vessels. It helps to assess the circulation in the area, identify any blockages or abnormalities, and ensure that blood is flowing properly for optimal health.
29 services29 patients
Insertion of multicomponent inflatable penile implant 54405
This procedure involves placing a device in the body that assists in maintaining firmness. It is composed of multiple parts, all inserted through a small incision. Once in place, it can be controlled manually for desired firmness and relaxation.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%225 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%324 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers40 claims8,970 services$1.71 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers11 claims1,890 services$5.26 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 6

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

Surgery (Vascular Surgery)
2 TAMPA GENERAL CIRCLE, STC-7TH FLOOR VASCULAR SURGERY
TAMPA, FL 33606
Internal Medicine (Pulmonary Disease)
2 TAMPA GENERAL CIRCLE, STC 6TH FLOOR
TAMPA, FL 33606
Obstetrics & Gynecology
2 TAMPA GENERAL CIRCLE, 6TH FLOOR
TAMPA, FL 33606
Obstetrics & Gynecology
2 TAMPA GENERAL CIRCLE, STC 4TH FLOOR
TAMPA, FL 33606
Genetic Counselor, MS
2 TAMPA GENERAL CIRCLE, 4TH FLOOR
TAMPA, FL 33606
Urology
2 TAMPA GENERAL CIRCLE
TAMPA, FL 33606

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 Carrion's NPI number?

The NPI number for Rafael Carrion is 1588695894. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Rafael Carrion located?

Rafael Carrion practices at 2 Tampa General Circle Stc 5th Floor, Tampa, FL 33606. The listed phone number is (813) 974-2201.

What is Rafael Carrion's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Rafael Carrion enrolled in Medicare?

Yes. Rafael Carrion 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 Carrion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Carrion reassigns Medicare benefits to University Medical Service Association Inc (Tampa, 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 Carrion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Carrion accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Rafael Carrion 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 Carrion affiliated with any hospitals?

According to CMS data, Rafael Carrion is affiliated with Tampa General Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Rafael Carrion was last updated on October 28, 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.