JOSE RAPHAEL G TAMAYO MD
NPI 1912161340
Family Medicine in Jacksonville Beach, FL

Q: What is Jose Raphael Tamayo's NPI number?

The NPI number for Jose Raphael Tamayo is 1912161340. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Q: What is Jose Raphael Tamayo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment

91.62/100

CMS Quality Rating

1127 16TH AVE S # 216, JACKSONVILLE BEACH, FL 32250(904) 247-7778(904) 390-7389 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 24, 2018, Jan 12, 2018, Nov 12, 2015 (3 updates tracked since 2015).

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About Jose Raphael G Tamayo Md NPPES

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

JOSE RAPHAEL G TAMAYO MD (NPI 1912161340) is an individual family medicine provider in Jacksonville Beach, Florida, licensed in Florida (ME 108621) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1912161340

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE RAPHAEL G TAMAYOCredential: MD

Location Address1127 16TH AVE S # 216Jacksonville Beach, FL 32250-3213

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 247-7778

Fax(904) 390-7389

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 15, 2008

Last NPPES UpdateNovember 26, 20243 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1912161340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME 108621

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1127 16TH AVE S # 216, Jacksonville Beach, FL 32250

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Jose Raphael G Tamayo 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 ID3678742582

PECOS Enrollment IDI20110810000634

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 15

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.

1,027 services456 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

477 services477 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.

297 services234 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

156 services127 patients

Psychiatric collaborative care management per calendar month, each additional 30 minutes 99494

Psychiatric collaborative care management is a treatment approach where a team of health professionals work together to provide optimal care. This includes monitoring your health, adjusting treatments, and coordinating care. If a session extends beyond the usual time, each additional 30 minutes is accounted for.

88 services24 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

76 services47 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

64 services64 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

63 services19 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

51 services41 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

35 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

27 services27 patients

Initial psychiatric collaborative care management, first calendar month, first 70 minutes 99492

This is the first month of a mental health care program where a team of health professionals collaboratively manage your care. The first 70 minutes involve assessing your needs, creating a care plan, and coordinating services to support your mental wellbeing.

26 services25 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.61

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers34 claims129 services$5.82 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims14 services$1.07 avg. paid by Medicare

Ostomy pouch, drainable, with faceplate attached, plastic, each A4375

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$15.58 avg. paid by Medicare

Ostomy pouch, urinary, with faceplate attached, plastic, each A4379

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$12.97 avg. paid by Medicare

Ostomy pouch, urinary, for use on faceplate, plastic, each A4381

DME-Orthotic Devices · category DF010N

1 supplier12 claims280 services$4.32 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$4.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jose Raphael Tamayo's NPI number?

The NPI number for Jose Raphael Tamayo is 1912161340. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Jose Raphael Tamayo located?

Jose Raphael Tamayo practices at 1127 16th Ave S # 216, Jacksonville Beach, FL 32250. The listed phone number is (904) 247-7778.

What is Jose Raphael Tamayo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Raphael Tamayo enrolled in Medicare?

Yes. Jose Raphael Tamayo 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 Jose Raphael Tamayo accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jose Raphael Tamayo 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 Jose Raphael Tamayo affiliated with any hospitals?

According to CMS data, Jose Raphael Tamayo is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Jose Raphael Tamayo was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.