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DR. RAFAEL EDUARDO QUINONEZ M.D., PHD
NPI 1902091309
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Mission Hills, CA

Active since September 09, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11550 INDIAN HILLS RD STE 280, MISSION HILLS, CA 91345(818) 361-5069(818) 837-3411 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rafael Eduardo Quinonez M.d., Phd NPPES

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

DR. RAFAEL EDUARDO QUINONEZ M.D., PHD (NPI 1902091309) is an individual otolaryngology/facial plastic surgery provider in Mission Hills, California, licensed in California (A101502) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2007).

NPPES Registry Identity

NPI1902091309
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. RAFAEL EDUARDO QUINONEZCredential: M.D., PHD
Location Address11550 INDIAN HILLS RD STE 280Mission Hills, CA 91345-1244
Mailing Address11550 Indian Hills Rd Ste 280Mission Hills, CA 91345-1244 · (818) 361-5069 · Fax (818) 837-3411
Phone(818) 361-5069
Fax(818) 837-3411
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2007
Enumeration DateSeptember 9, 2007
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1902091309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · A101502
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
11550 INDIAN HILLS RD STE 280, Mission Hills, CA 91345
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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

Dr. Rafael Eduardo Quinonez M.d., Phd 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 ID6800971318
PECOS Enrollment IDI20080307000505
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 Reassignment

Medicare enrollment records show Rafael Quinonez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rafael E Quinonez MD Inc
Same address
Otolaryngology
11550 INDIAN HILLS RD, SUITE 280
Mission Hills, CA 91345
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Rafael E. Quinonez, M.D., Inc
NPI 1902290745 (818) 361-5069

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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
442 services249 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.
188 services145 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.
158 services116 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.
140 services140 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
74 services74 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.
49 services37 patients

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
Individually scored
Quality90.73
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
99%125 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
6%305 patients4/55-star benchmark: 100%
Age-Related Hearing Loss: Comprehensive Audiometric Evaluation
94%282 patients
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
96%415 patients5/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
96%4,694 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,205 patients
Patients screened: 98% · 1,205 patients
100%76 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
94%62 patients3/55-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 Quinonez's NPI number?

The NPI number for Rafael Quinonez is 1902091309. It was assigned to this individual provider in the NPPES registry on September 9, 2007.

Where is Rafael Quinonez located?

Rafael Quinonez practices at 11550 Indian Hills Rd Ste 280, Mission Hills, CA 91345. The listed phone number is (818) 361-5069.

What is Rafael Quinonez's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Rafael Quinonez enrolled in Medicare?

Yes. Rafael Quinonez 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 organization bills Medicare for Rafael Quinonez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Quinonez reassigns Medicare benefits to Rafael E Quinonez MD Inc (Mission Hills, CA). The 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 Quinonez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Quinonez was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.