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DR. RAFAEL ANTONIO ACOSTA DDS
NPI 1902232614
Dentist - Endodontics in Clinton, MD

Active since September 25, 2013Opted out of Medicare · through Dec 29, 2027
7905 MALCOLM RD STE 300, CLINTON, MD 20735(301) 868-5500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 17, 2018 (2 updates tracked since 2018).

About Dr. Rafael Antonio Acosta Dds NPPES

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

DR. RAFAEL ANTONIO ACOSTA DDS (NPI 1902232614) is an individual endodontics provider in Clinton, Maryland, licensed in Maryland (15692) and active in the NPI registry since September 2013. He has opted out of Medicare through December 29, 2027 and remains eligible to order and refer and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902232614
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. RAFAEL ANTONIO ACOSTACredential: DDS
Location Address7905 MALCOLM RD STE 300Clinton, MD 20735
Mailing Address7905 Malcolm Rd Ste 300Clinton, MD 20735-1708 · (301) 868-5500
Phone(301) 868-5500
Sole ProprietorYes
Enumeration DateSeptember 25, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1902232614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MD · 15692
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7905 MALCOLM RD STE 300, Clinton, MD 20735
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1605 Post Office Rd Ste 202Waldorf, MD 20602-1913 · Phone (301) 843-3290
Location 26201 Greenbelt Rd Ste U11Berwyn Heights, MD 20740-2347 · Phone (301) 345-3800
Location 322888 Three Notch Rd Ste 102California, MD 20619-3114 · Phone (301) 737-5507
Location 4995 Prince Frederick Blvd Ste 104Prince Frederick, MD 20678-3199 · Phone (443) 532-3123 · Fax (443) 532-3201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rafael Antonio Acosta Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2015 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2015
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 2

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

MICHAEL AREGBESOLA
Dentist (Endodontics)
7905 MALCOLM RD STE 300
CLINTON, MD 20735
Prince George's County (301) 868-5500
DR. NEIL CAMPBELL DDS
Dentist (Endodontics)
7905 MALCOLM RD STE 300
CLINTON, MD 20735
Prince George's County (301) 868-5500

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 Acosta's NPI number?

The NPI number for Rafael Acosta is 1902232614. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Rafael Acosta located?

Rafael Acosta practices at 7905 Malcolm Rd Ste 300, Clinton, MD 20735. The listed phone number is (301) 868-5500.

What is Rafael Acosta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Rafael Acosta enrolled in Medicare?

No. Rafael Acosta has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rafael Acosta accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Rafael Acosta 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 Acosta was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.