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RAPHAEL TITO BALBINO M.D.
NPI 1972894921
Integrative Medicine in Jacksonville, FL

Active since April 26, 2011Opted out of Medicare · through Jul 1, 2027
91.62/100
CMS Quality Rating
9283 SAN JOSE BLVD STE 201, JACKSONVILLE, FL 32257(904) 268-5826(904) 268-5873 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2025, Oct 17, 2019, Dec 10, 2018 and 1 more (4 updates tracked since 2015).

About Raphael Tito Balbino M.d. NPPES

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

RAPHAEL TITO BALBINO M.D. (NPI 1972894921) is an individual integrative medicine provider in Jacksonville, Florida, licensed in Florida (ME123543) and active in the NPI registry since April 2011. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972894921
Entity TypeIndividualMale
Primary Taxonomy202D00000X
Provider Legal NameRAPHAEL TITO BALBINOCredential: M.D.
Location Address9283 SAN JOSE BLVD STE 201Jacksonville, FL 32257-5584
Mailing Address9283 San Jose Blvd Ste 201Jacksonville, FL 32257-5584 · (904) 268-5826 · Fax (904) 268-5873
Phone(904) 268-5826
Fax(904) 268-5873
Sole ProprietorYes
Enumeration DateApril 26, 2011
Last NPPES UpdateDecember 23, 20254 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1972894921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
License✔ Licensed in FL · ME123543
Definition

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME123543 (FL)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License ME123543 (FL)
9283 SAN JOSE BLVD STE 201, Jacksonville, FL 32257
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Raphael Tito Balbino M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers11 claims22 services$5.13 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 Raphael Balbino's NPI number?

The NPI number for Raphael Balbino is 1972894921. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Raphael Balbino located?

Raphael Balbino practices at 9283 San Jose Blvd Ste 201, Jacksonville, FL 32257. The listed phone number is (904) 268-5826.

What is Raphael Balbino's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Is Raphael Balbino enrolled in Medicare?

No. Raphael Balbino has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Raphael Balbino was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.