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DR. RAFAEL MONTECINO M.D.
NPI 1821175316
Surgery in Boston, MA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITALBIGELLOW 13., BOSTON, MA 02114(617) 726-3712 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rafael Montecino M.d. NPPES

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

DR. RAFAEL MONTECINO M.D. (NPI 1821175316) is an individual surgery provider in Boston, Massachusetts, licensed in California (A90183) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1821175316
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAFAEL MONTECINOCredential: M.D.
Location Address55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITALBIGELLOW 13.Boston, MA 02114
Mailing Address1 Longfellow Place #19-19Boston, MA 02114 · (619) 252-7160
Phone(617) 726-3712
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 6, 2009
✔ NPI 1821175316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A90183
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
55 FRUIT ST., Boston, MA 02114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Montecino 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 ID2062651599
PECOS Enrollment IDI20220518001678
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.

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.
62 services62 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.
60 services43 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
32 services22 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.
30 services27 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.
20 services14 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

QIAN YANG DMD
Oral & Maxillofacial Surgery
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8222
SANJAY MENON MD
Psychiatry & Neurology (Neurology)
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (857) 238-5600
NOAH DANIEL HURST LEWIS MD
Student in an Organized Health Care Education/Training Program
55 FRUIT ST., YAWHAY OUTPATIENT CENTER -5B
BOSTON, MA 02114
Suffolk County (617) 643-7117
GANESH M SHANKAR MD, PHD
Neurological Surgery
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-5143
JAMIE M JACOBS PHD
Psychologist (Clinical)
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 724-5600
HIDEO MAKIMURA M.D., PH.D.
Internal Medicine
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-7948
DAVID T MADURAM MD, PHD
Anesthesiology
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-3030
OPEYEMI A OLABISI MD, PHD
Internal Medicine
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-2862

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 Montecino's NPI number?

The NPI number for Rafael Montecino is 1821175316. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Rafael Montecino located?

Rafael Montecino practices at 55 Fruit St. Massachusetts General Hospitalbigellow 13., Boston, MA 02114. The listed phone number is (617) 726-3712.

What is Rafael Montecino's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Montecino enrolled in Medicare?

Yes. Rafael Montecino 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 Montecino accept?

Health plans from Anthem Blue Cross and Blue Shield list Rafael Montecino 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 Montecino affiliated with any hospitals?

According to CMS data, Rafael Montecino is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Montecino was last updated on April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.