RAFAEL L IRIZARRY MD
NPI 1922020239
Radiology - Diagnostic Radiology in Jacksonville, FL


Quality Rating: 75.59 out of 100 score

NPI Status: Active since July 24, 2006

Contact Information

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-5550
Fax: (904) 346-4334

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • PECOS Enrolled

About RAFAEL IRIZARRY

This page provides the complete NPI Profile along with additional information for Rafael Irizarry, a provider established in Jacksonville, Florida with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1922020239 assigned on July 2006. The practitioner's primary taxonomy code is 2085R0202X with license number ME85345 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1922020239
Provider Name
RAFAEL L IRIZARRY MD
Gender
Male
Entity Type
Individual
Location Address
3599 UNIVERSITY BLVD S BUILDING 300 JACKSONVILLE, FL 32216
Location Phone
(904) 399-5550
Location Fax
(904) 346-4334
Mailing Address
3599 UNIVERSITY BLVD S BUILDING 300 JACKSONVILLE, FL 32216
Mailing Phone
(904) 399-5550
Mailing Fax
(904) 346-4334
Is Sole Proprietor?
No
Enumeration Date
07-24-2006
Last Update Date
08-21-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
ME85345
License State
FL
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H67523MEDICARE UPIN (02)FL 
17028MEDICARE ID-TYPE UNSPECIFIED (04)FL 
300131415MEDICARE ID-TYPE UNSPECIFIED (04)GARAILROAD
17028OTHER (01)FLBCBS
00955501AMEDICAID (05)GA 
264700100MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Rafael Irizarry is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast

A computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast is a non-invasive exam. It uses X-rays and a contrast material to create detailed images of your brain. It helps evaluate blood flow patterns and detect abnormalities like clots or blockages.

This service was performed 73 times for 73 patients

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 885 times for 823 patients

Ct scan of blood vessels of head with contrast

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

This service was performed 148 times for 146 patients

Ct scan of blood vessels of neck with contrast

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

This service was performed 146 times for 141 patients

Ct scan of face without contrast

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

This service was performed 69 times for 69 patients

Ct scan of lower spine with contrast

A CT scan of the lower spine with contrast is a non-invasive imaging test that uses X-ray technology and a contrast dye to create detailed pictures of your lower spine. It helps in diagnosing conditions like herniated discs, fractures, or tumors.

This service was performed 28 times for 28 patients

Ct scan of lower spine without contrast

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

This service was performed 87 times for 87 patients

Ct scan of middle spine without contrast

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

This service was performed 30 times for 30 patients

Ct scan of soft tissue of neck with contrast

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

This service was performed 31 times for 31 patients

Ct scan of upper spine without contrast

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

This service was performed 174 times for 173 patients

Mri scan of blood vessels of head without contrast

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

This service was performed 24 times for 24 patients

Mri scan of brain before and after contrast

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

This service was performed 132 times for 123 patients

Mri scan of brain before and after contrast

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

This service was performed 15 times for 15 patients

Mri scan of brain without contrast

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

This service was performed 208 times for 206 patients

Mri scan of brain without contrast

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

This service was performed 11 times for 11 patients

Mri scan of lower spinal canal before and after contrast

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

This service was performed 29 times for 29 patients

Mri scan of lower spinal canal without contrast

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

This service was performed 166 times for 166 patients

Mri scan of lower spinal canal without contrast

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

This service was performed 53 times for 53 patients

Mri scan of middle spinal canal without contrast

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

This service was performed 29 times for 29 patients

Mri scan of upper spinal canal before and after contrast

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

This service was performed 16 times for 15 patients

Mri scan of upper spinal canal without contrast

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

This service was performed 64 times for 64 patients

Mri scan of upper spinal canal without contrast

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

This service was performed 19 times for 19 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 11 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.04
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $17.51
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75.59, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75.59 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 85.94

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 44.43

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 44.43

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for RAFAEL L IRIZARRY MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922020239
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294202026
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 0 + 2 + 0 + 2 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1922020239 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DAWN NICHELLE ROSADO MPT

Physical Therapist

3599 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216

(904) 854-2090

DR. GIANCARLO BERTOZZI MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

3599 UNIVERSITY BLVD S
SUITE 802
JACKSONVILLE, FL
ZIP 32216

(904) 396-2421

DR. JACK JERRY SALAH M.D.

Internal Medicine

(Pulmonary Disease)

3599 UNIVERSITY BLVD S
SUITE 901
JACKSONVILLE, FL
ZIP 32216

(904) 398-6971

DR. ALEJANDRO A RADI M.D.

Contractor

3599 UNIVERSITY BLVD S
SUITE 8
JACKSONVILLE, FL
ZIP 32216

(904) 398-7001

DR. NGOCLAN THI DINH M. D.

Internal Medicine

(Gastroenterology)

3599 UNIVERSITY BLVD S
SUITE 911
JACKSONVILLE, FL
ZIP 32216

(904) 346-0330

DR. DENNIS M SMITH MD

Pathology

(Anatomic Pathology & Clinical Pathology)

3599 UNIVERSITY BLVD S
SUITE 1700
JACKSONVILLE, FL
ZIP 32216

(904) 858-0110

DR. GRADY C STEWART MD

Radiology

(Diagnostic Radiology)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

DR. WILLIAM S MORROW MD

Radiology

(Body Imaging)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

BARBARA L SHARP MD

Radiology

(Diagnostic Radiology)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

PRASANNA S PRABHU MD

Radiology

(Body Imaging)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

JAMIE T SURRATT MD

Radiology

(Diagnostic Radiology)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

LUANN B MOORE MD

Radiology

(Body Imaging)

3599 UNIVERSITY BLVD S
BLDG 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

JOHN D MCKENZIE MD

Radiology

(Diagnostic Radiology)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

DR. MARK LEONARD ABRAMSON M.D.

Urology

3599 UNIVERSITY BLVD S
#804
JACKSONVILLE, FL
ZIP 32216

(904) 346-3333

BAGNOLI AND SALAH PARTNERSHIP

Internal Medicine

(Pulmonary Disease)

3599 UNIVERSITY BLVD S
SUITE 901
JACKSONVILLE, FL
ZIP 32216

(904) 398-6971

DR. LAWRENCE J KANTER MD

Internal Medicine

(Cardiovascular Disease)

3599 UNIVERSITY BLVD S
SUITE 913
JACKSONVILLE, FL
ZIP 32216

(904) 399-4120

MRS. LOUISE ANN AXELBERG

Social Worker

(Clinical)

3599 UNIVERSITY BLVD S
SUITE 601
JACKSONVILLE, FL
ZIP 32216

(904) 399-0404

MRS. CHRISTINA A FEELY A.R.N.P

Counselor

(Mental Health)

3599 UNIVERSITY BLVD S
SUITE 400
JACKSONVILLE, FL
ZIP 32216

(904) 399-5966

KAREN ELLIOTT A.R.N.P

Nurse Practitioner

3599 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216

(904) 345-7776

EMILE A LATOUR MD

Radiology

(Diagnostic Radiology)

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216

(904) 399-5550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922020239, enumerated as an "individual" on July 24, 2006.

The provider is located at 3599 UNIVERSITY BLVD S BUILDING 300 JACKSONVILLE, FL 32216 and the phone number is (904) 399-5550.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company,. Please consult your insurance carrier or call the provider to verify.