HUNTER RAFOTH MD
NPI 1700414067
Family Medicine - Sports Medicine in Melbourne, FL

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
5565 N WICKHAM RD, MELBOURNE, FL 32940(321) 843-5851(407) 573-3355 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Aug 23, 2024, May 9, 2023 and 1 more (4 updates tracked since 2020).

About Hunter Rafoth Md NPPES

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

HUNTER RAFOTH MD (NPI 1700414067) is an individual sports medicine provider in Melbourne, Florida, licensed in Florida (ME152929) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Melbourne Regional Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2020).

NPPES Registry Identity

NPI1700414067
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameHUNTER RAFOTHCredential: MD
Location Address5565 N WICKHAM RDMelbourne, FL 32940-7304
Mailing Address60 Columbia St Ste 400Orlando, FL 32806-1115 · (321) 843-5851 · Fax (321) 843-7381
Fax(407) 573-3355
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1700414067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in FL · ME152929 Licensed in NC · 2023-00836
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2023-00836 (NC)
5565 N WICKHAM RD, Melbourne, FL 32940

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

Hunter Rafoth 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 ID143644765
PECOS Enrollment IDI20240726003263
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
79 services16 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.
17 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
13 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
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.
13 services11 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

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

Physician Assistant (Surgical)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Clinic/Center (Radiology)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Occupational Therapist (Hand)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940

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 Hunter Rafoth's NPI number?

The NPI number for Hunter Rafoth is 1700414067. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Hunter Rafoth located?

Hunter Rafoth practices at 5565 N Wickham Rd, Melbourne, FL 32940. The listed phone number is (321) 843-5851.

What is Hunter Rafoth's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Hunter Rafoth enrolled in Medicare?

Yes. Hunter Rafoth 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 Hunter Rafoth accept?

Health plans from AmeriHealth Caritas Next, AvMed, Blue Cross and Blue Shield of NC, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Hunter Rafoth 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 Hunter Rafoth affiliated with any hospitals?

According to CMS data, Hunter Rafoth is affiliated with Melbourne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hunter Rafoth was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.