DR. RAFAEL AGUSTIN ARCINIEGAS FLORES M.D.
NPI 1720427719
Internal Medicine - Pulmonary Disease in Miami, FL

Q: What is Rafael Arciniegas Flores's NPI number?

The NPI number for Rafael Arciniegas Flores is 1720427719. It was assigned to this individual provider in the NPPES registry on June 23, 2013.

Q: What is Rafael Arciniegas Flores's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since June 23, 2013PECOS EnrolledAccepts Medicare Assignment

94.3/100

CMS Quality Rating

1611 NW 12TH AVE, MIAMI, FL 33136(305) 243-6826 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Rafael Agustin Arciniegas Flores M.d. NPPES

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

DR. RAFAEL AGUSTIN ARCINIEGAS FLORES M.D. (NPI 1720427719) is an individual pulmonary disease provider in Miami, Florida, licensed in Montana (MED-PHYS-LIC-87791) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1720427719

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RAFAEL AGUSTIN ARCINIEGAS FLORESCredential: M.D.

Location Address1611 NW 12TH AVEMiami, FL 33136-1005

Mailing Address1800 N Bayshore Dr Apt 1505Miami, FL 33132-3225 · (305) 903-1728

Phone(305) 243-6826

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 23, 2013

Last NPPES UpdateJuly 1, 2020

NPPES CertifiedJuly 1, 2020

✔ NPI 1720427719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MT · MED-PHYS-LIC-87791

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 19252 (FL)

1611 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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 Agustin Arciniegas Flores 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 ID6709209844

PECOS Enrollment IDI20200708002850

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 21

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

223 services132 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

61 services61 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

55 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

54 services43 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

54 services25 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

50 services50 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services44 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

41 services41 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

37 services37 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

36 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services20 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

24 services23 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.

22 services20 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

20 services20 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

19 services19 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

19 services19 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

18 services18 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

16 services16 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

15 services14 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

12 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Washakie Medical Center

Critical Access Hospitals · Worland, WY

OwnershipGovernment - Local

CMS Certification Number531306

Location400 South 15th StreetWorland, WY 82401 · Washakie County

Emergency services

Powell Valley Hospital

Critical Access Hospitals · Powell, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531310

Location777 Avenue HPowell, WY 82435 · Park County

Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531312

Location707 Sheridan AvenueCody, WY 82414 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

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.

94.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers14 claims14 services$17.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers36 claims36 services$100.66 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$37.97 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 20

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

DR. AKUA GYANEWAH ASARE MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-8264

MARILUZ SANCHEZ PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136

Miami-Dade County (305) 585-7309

DR. TASHA JOYTI N. D. COOKE TASHA COOKE

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-3670

DR. JUANITA ANN MARIE HUNTER M.D.

Pediatrics (Pediatric Cardiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6042

WANDA LAVERNE MCGOWAN-BRAYNEN ARNP

Nurse Practitioner (Adult Health)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. PERTTI KALEVI HAKALA M.D.

Anesthesiology

1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

JAYLOU M VELEZ TORRES M.D.

Pathology (Anatomic Pathology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-8381

ANNE-ISABELLE SOPHIA REME MD

Surgery

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1280

ELIE SAMIR ALAM MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

CHRISTOPHER D NAVARRO MD

Anesthesiology

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

RENZO ALDERETE APRN

Nurse Practitioner

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

AAZIM SYED ARIF MD

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. VICTOR M. LU MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-6751

DR. MIRIAM MARTI MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 342-1919

ALVARO ALFONSO SOTO RINCON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (786) 769-0052

LANIEL ROMEUS JR.

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-7000

CAMILLE-KAE TORRE DNP, APRN, NNP-BC

Nurse Practitioner (Neonatal)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

NICOLE FARES MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

VERONICA NUNEZ

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

MARGO STAPLETON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-1350

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 Arciniegas Flores's NPI number?

The NPI number for Rafael Arciniegas Flores is 1720427719. It was assigned to this individual provider in the NPPES registry on June 23, 2013.

Where is Rafael Arciniegas Flores located?

Rafael Arciniegas Flores practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-6826.

What is Rafael Arciniegas Flores's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rafael Arciniegas Flores enrolled in Medicare?

Yes. Rafael Arciniegas Flores 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 Arciniegas Flores accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Rafael Arciniegas Flores 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 Arciniegas Flores affiliated with any hospitals?

According to CMS data, Rafael Arciniegas Flores is affiliated with Billings Clinic, Washakie Medical Center, Powell Valley Hospital and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Rafael Arciniegas Flores was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.