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RAFAEL ARTURO PEREZ-FIGAREDO M.D.
NPI 1801814272
Dermatology in Matthews, NC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1400 MATTHEWS TOWNSHIP PKWY STE 170, MATTHEWS, NC 28105(704) 384-6020 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rafael Arturo Perez-figaredo M.d. NPPES

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

RAFAEL ARTURO PEREZ-FIGAREDO M.D. (NPI 1801814272) is an individual dermatology provider in Matthews, North Carolina, licensed in North Carolina (BP1337206) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of University Of Puerto Rico School Of Medicine (1969).

NPPES Registry Identity

NPI1801814272
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRAFAEL ARTURO PEREZ-FIGAREDOCredential: M.D.
Location Address1400 MATTHEWS TOWNSHIP PKWY STE 170Matthews, NC 28105-4655
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-6020
Phone(704) 384-6020
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1969
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1801814272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in NC · BP1337206✔ Licensed in OH · 35058429P
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1400 MATTHEWS TOWNSHIP PKWY STE 170, Matthews, NC 28105
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Secondary Practice Location 1

Location 15300 Far Hills Ave.Dayton, OH 45429-2347 · Phone (937) 433-7536 · Fax (937) 433-9612

Other Identifiers 4

Other4089718OH · Aetna
Other3109647743A14OH · Anthem Blue Shield
Other0320048OH · United Health Care
Other070003837OH · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and more.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 Arturo Perez-figaredo 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 ID6507991817
PECOS Enrollment IDI20220331001303
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 Reassignments

2

Medicare enrollment records show Rafael Perez-figaredo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Medical Group, Inc.
0.1 mi
Maternal & Fetal Medicine
1450 MATTHEWS TOWNSHIP PKWY, SUITE 410
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1033566526 (704) 384-7680
Darst Dermatology, PC
5.5 mi
Dermatology
11301 GOLF LINKS DR N, SUITE 203
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1740434158 (704) 321-3376

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
325 services55 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.
240 services170 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
131 services81 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.
97 services75 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
95 services84 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.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%206 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,886 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%131 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
15%657 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%3,717 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%1,979 patients3/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%3,717 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.

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 Perez-figaredo's NPI number?

The NPI number for Rafael Perez-figaredo is 1801814272. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Rafael Perez-figaredo located?

Rafael Perez-figaredo practices at 1400 Matthews Township Pkwy Ste 170, Matthews, NC 28105. The listed phone number is (704) 384-6020.

What is Rafael Perez-figaredo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rafael Perez-figaredo enrolled in Medicare?

Yes. Rafael Perez-figaredo 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 organizations bill Medicare for Rafael Perez-figaredo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Perez-figaredo reassigns Medicare benefits to 2 organizations: Novant Medical Group, Inc. (Matthews, NC) and Darst Dermatology, PC (Charlotte, NC). Each 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 Perez-figaredo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Perez-figaredo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of North Carolina and 3 other insurers list Rafael Perez-figaredo 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.

When was this NPI record last updated?

The NPPES record for Rafael Perez-figaredo was last updated on September 15, 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.