Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAFIK ABADIER M.D.
NPI 1649253147
Internal Medicine - Cardiovascular Disease in Inverness, FL

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
210 S PINE AVE, INVERNESS, FL 34452(352) 419-6538(352) 419-6541 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rafik Abadier M.d. NPPES

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

RAFIK ABADIER M.D. (NPI 1649253147) is an individual cardiovascular disease provider in Inverness, Florida, licensed in Florida (ME59443) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1649253147
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRAFIK ABADIERCredential: M.D.
Location Address210 S PINE AVEInverness, FL 34452-4831
Mailing Address212 S Pine AveInverness, FL 34452-4831 · (352) 419-6537 · Fax (352) 419-6541
Fax(352) 419-6541
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1649253147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME59443
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
210 S PINE AVE, Inverness, FL 34452

Other Identifiers 5

Other11319380FL · Caqh
Other11974FL · Bcbs Of Fl
OtherME059443FL · State License Number
Other060041431FL · Medicare Rr
Other4535194FL · Cigna

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

Rafik Abadier M.d. 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 ID3072407725
PECOS Enrollment IDI20071204000113
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 24

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 low level od decision making, if using time, 20 minutes or more 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.
603 services347 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.
332 services193 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
260 services80 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
146 services140 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
136 services18 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
130 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34452 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.84
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%616 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
89%57 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
91%285 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
53%49 patients2/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%710 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%428 patients4/55-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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
210 S PINE AVE
INVERNESS, FL 34452

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 Rafik Abadier's NPI number?

The NPI number for Rafik Abadier is 1649253147. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Rafik Abadier located?

Rafik Abadier practices at 210 S Pine Ave, Inverness, FL 34452. The listed phone number is (352) 419-6538.

What is Rafik Abadier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rafik Abadier enrolled in Medicare?

Yes. Rafik Abadier 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 Rafik Abadier accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rafik Abadier 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 Rafik Abadier affiliated with any hospitals?

According to CMS data, Rafik Abadier is affiliated with Hca Florida Citrus Hospital.

When was this NPI record last updated?

The NPPES record for Rafik Abadier was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.