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DR. KATHIA RAPHAEL MD
NPI 1982197893
Family Medicine in Fort Myers, FL

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
16271 BASS RD, FORT MYERS, FL 33908(239) 343-7100(239) 343-7190 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2022, Aug 16, 2021, Jun 18, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Kathia Raphael Md NPPES

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

DR. KATHIA RAPHAEL MD (NPI 1982197893) is an individual family medicine provider in Fort Myers, Florida, licensed in Florida (ME151022) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1982197893
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHIA RAPHAELCredential: MD
Location Address16271 BASS RDFort Myers, FL 33908-3616
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-7100 · Fax (239) 343-7190
Phone(239) 343-7100
Fax(239) 343-7190
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2018
Last NPPES UpdateJanuary 17, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1982197893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME151022✔ Licensed in IL · 125.072895
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16271 BASS RD, Fort Myers, FL 33908
Open in Google Maps ↗

Secondary Practice Location 1

Location 1612 N 11th StQuincy, IL 62301 · Phone (217) 224-9484

Other Identifiers 1

Medicaid110627300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Kathia Raphael 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 ID5597012153
PECOS Enrollment IDI20210608002020
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 11

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.
406 services232 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
151 services151 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
31 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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.

MRS. THERESA ROSE COREY APRN
Nurse Practitioner (Family)
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
LEE DOUGLAS JACKSON NP-C
Nurse Practitioner (Family)
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
ABIGAIL ELIZABETH TATTERSALL PAC
Physician Assistant
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
JOYCE KEIM ARNP
Nurse Practitioner (Family)
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
CHRISTINA SIERRA CNM
Advanced Practice Midwife
16271 BASS RD
FT MYERS, FL 33908
Lee County (239) 343-7100
ROSE POTHEN M.D.
Family Medicine
16271 BASS RD
FT MYERS, FL 33908
Lee County (239) 432-4235
MARLI CAROLINA ALMONTE NUNEZ MD
Internal Medicine
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
RACHEL MICHELE GOMEZ PA.
Physician Assistant
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 985-1925

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 Kathia Raphael's NPI number?

The NPI number for Kathia Raphael is 1982197893. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Kathia Raphael located?

Kathia Raphael practices at 16271 Bass Rd, Fort Myers, FL 33908. The listed phone number is (239) 343-7100.

What is Kathia Raphael's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathia Raphael enrolled in Medicare?

Yes. Kathia Raphael 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 Kathia Raphael accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Kathia Raphael 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 Kathia Raphael affiliated with any hospitals?

According to CMS data, Kathia Raphael is affiliated with Lee Memorial Hospital and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Kathia Raphael was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.