RAFAEL PAPALEO MD
NPI 1932190899
Internal Medicine - Cardiovascular Disease in Troy, NY
About Rafael Papaleo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFAEL PAPALEO MD (NPI 1932190899) is an individual cardiovascular disease provider in Troy, New York, licensed in New York (199250) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 2
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other Identifiers 6
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
Rafael Papaleo 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.
Areas of Expertise CMS Part B claims 26
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albany Medical Center Hospital
Acute Care Hospitals · Albany, NYSt Peter's Hospital
Acute Care Hospitals · Albany, NYSamaritan Hospital Of Troy, New York
Acute Care Hospitals · Troy, NYSouthwestern Vermont Medical Center
Acute Care Hospitals · Bennington, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Controlling High Blood Pressure | 69% | 659 |
| Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%) | 43% | 96 |
| Documentation of Current Medications in the Medical Record | 97% | 7754 |
| Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) | 63% | 27 |
| Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) | 56% | 25 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | 3376 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 24% | 2411 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 19% | 2361 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 365 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 19% | 2361 |
| Provide Patients Electronic Access to Their Health Information | 86% | 1697 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 61% | 1595 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932190899, enumerated as an "individual" on October 31, 2005.
The provider is located at 2231 BURDETT AVENUE SUITE 160 TROY, NY 12180 and the phone number is (518) 292-6200.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
Rafael Papaleo is affiliated with: ALBANY MEDICAL CENTER HOSPITAL, ST PETER'S HOSPITAL, SAMARITAN HOSPITAL OF TROY, NEW YORK and SOUTHWESTERN VERMONT MEDICAL CENTER.
