MICHAEL RAFAELOF
NPI 1922686104
Ophthalmology in Orange, CA

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S STE 400, ORANGE, CA 92868(714) 456-5691 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Mar 30, 2021 (2 updates tracked since 2021).

About Michael Rafaelof NPPES

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

MICHAEL RAFAELOF (NPI 1922686104) is an individual ophthalmology provider in Orange, California, licensed in California (A-181688) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2021).

NPPES Registry Identity

NPI1922686104
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL RAFAELOF
Location Address101 THE CITY DR S STE 400Orange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-8888
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1922686104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A-181688
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
101 THE CITY DR S STE 400, Orange, CA 92868

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

Michael Rafaelof 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 ID8820507353
PECOS Enrollment IDI20250604003620
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 Reassignments

2

Medicare enrollment records show Michael Rafaelof reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 113 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
800 N MAIN ST
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S STE 400
ORANGE, CA 92868

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 Michael Rafaelof's NPI number?

The NPI number for Michael Rafaelof is 1922686104. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Michael Rafaelof located?

Michael Rafaelof practices at 101 The City Dr S Ste 400, Orange, CA 92868. The listed phone number is (714) 456-5691.

What is Michael Rafaelof's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Rafaelof enrolled in Medicare?

Yes. Michael Rafaelof 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 organizations bill Medicare for Michael Rafaelof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Rafaelof reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (Orange, CA) and University Of California Irvine (Santa Ana, CA). Each 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 Michael Rafaelof'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 Michael Rafaelof was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.