RAFAEL ORLANDO TORO SERRA MD.
NPI 1952549768
Surgery in Orlando, FL

Active since February 02, 2009PECOS EnrolledAccepts Medicare Assignment
22 W UNDERWOOD ST, ORLANDO, FL 32806(407) 648-3800(407) 425-5203 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Jul 2, 2019, Nov 9, 2016 (3 updates tracked since 2016).

About Rafael Orlando Toro Serra Md. NPPES

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

RAFAEL ORLANDO TORO SERRA MD. (NPI 1952549768) is an individual surgery provider in Orlando, Florida, licensed in Florida (ME113424) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Ponce School Of Medicine (2005).

NPPES Registry Identity

NPI1952549768
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAFAEL ORLANDO TORO SERRACredential: MD.
Location Address22 W UNDERWOOD STOrlando, FL 32806-1110
Mailing Address22 W Underwood StOrlando, FL 32806-1110 · (407) 648-3800 · Fax (407) 425-5203
Fax(407) 425-5203
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2005
Enumeration DateFebruary 2, 2009
Last NPPES UpdateOctober 22, 20193 updates tracked since enumeration
NPI 1952549768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME113424
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
22 W UNDERWOOD ST, Orlando, FL 32806

Other Names 1

Other Name (5)Rafael O. Toro Md.

Other Identifiers 2

OtherME113424FL · Medical License
Medicaid009686900FL

Accepted 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

Rafael Orlando Toro Serra 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 ID2769640416
PECOS Enrollment IDI20120906000376
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 6

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 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.
125 services89 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
23 services23 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier19 claims2,430 services$2.33 avg. paid by Medicare
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$45.84 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers13 claims240 services$3.27 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims275 services$2.90 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers16 claims9,017 services$0.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
22 W UNDERWOOD ST, 4TH FLOOR
ORLANDO, FL 32806
Orthopaedic Surgery
22 W UNDERWOOD ST, 4TH FLOOR
ORLANDO, FL 32806
Anesthesiology (Pain Medicine)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Anesthesiology
22 W UNDERWOOD ST
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Internal Medicine (Hematology & Oncology)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Internal Medicine (Gastroenterology)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Durable Medical Equipment & Medical Supplies
22 W UNDERWOOD ST, 3RD FLOOR
ORLANDO, FL 32806

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 Toro Serra's NPI number?

The NPI number for Rafael Toro Serra is 1952549768. It was assigned to this individual provider in the NPPES registry on February 2, 2009. The provider is also known as Rafael O. Toro MD..

Where is Rafael Toro Serra located?

Rafael Toro Serra practices at 22 W Underwood St, Orlando, FL 32806. The listed phone number is (407) 648-3800.

What is Rafael Toro Serra's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Toro Serra enrolled in Medicare?

Yes. Rafael Toro Serra 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 Rafael Toro Serra accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Rafael Toro Serra 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 Rafael Toro Serra affiliated with any hospitals?

According to CMS data, Rafael Toro Serra is affiliated with Orlando Health, Orlando Health-Health Central Hospital and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Toro Serra was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.