RAFAEL SAMUEL CARDONA RODRIGUEZ MD
NPI 1780188896
Otolaryngology in White Plains, NY

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
222 BLOOMINGDALE RD FL 2, WHITE PLAINS, NY 10605(914) 949-3888(914) 949-1271 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rafael Samuel Cardona Rodriguez Md NPPES

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

RAFAEL SAMUEL CARDONA RODRIGUEZ MD (NPI 1780188896) is an individual otolaryngology provider in White Plains, New York, licensed in New York (322215) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780188896
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameRAFAEL SAMUEL CARDONA RODRIGUEZCredential: MD
Location Address222 BLOOMINGDALE RD FL 2White Plains, NY 10605-1513
Mailing Address660 White Plains Rd Ste 400Tarrytown, NY 10591-5107 · (914) 984-2546
Fax(914) 949-1271
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
NPI 1780188896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in NY · 322215 Licensed in NJ · 25MA11788000
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 64001
222 BLOOMINGDALE RD FL 2, White Plains, NY 10605

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

Rafael Samuel Cardona Rodriguez 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 ID3173860632
PECOS Enrollment IDI20230817002844
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 14

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.
449 services324 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
302 services224 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
246 services203 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.
163 services163 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.
109 services100 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
53 services45 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10605 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

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.

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
2 suppliers12 claims13 services$32.35 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers16 claims17 services$37.62 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 13

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

Otolaryngology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Otolaryngology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Allergy & Immunology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Otolaryngology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Otolaryngology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Otolaryngology (Facial Plastic Surgery)
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Otolaryngology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605
Otolaryngology
222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605

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 Cardona Rodriguez's NPI number?

The NPI number for Rafael Cardona Rodriguez is 1780188896. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Rafael Cardona Rodriguez located?

Rafael Cardona Rodriguez practices at 222 Bloomingdale Rd Fl 2, White Plains, NY 10605. The listed phone number is (914) 949-3888.

What is Rafael Cardona Rodriguez's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Rafael Cardona Rodriguez enrolled in Medicare?

Yes. Rafael Cardona Rodriguez 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.

Is Rafael Cardona Rodriguez affiliated with any hospitals?

According to CMS data, Rafael Cardona Rodriguez is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Rafael Cardona Rodriguez was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.