Dr. Marc A. Rafols, MD

Dr. Rafols practices at Physician Practices of Msmc in Miami Beach, Florida.

Dr. Rafols' NPI, 1366893976, was assigned on June 24, 2016. Dr. Rafols graduated from St. George's University School of Medicine in 2016. Dr. Rafols holds Florida license 150479.

Dr. Rafols' primary practice is Physician Practices of Msmc, at 4302 Alton Rd, Miami Beach, FL 33140 in Miami-Dade County. The practice phone is (305) 674-2404.

Dr. Rafols' primary practice is Physician Practices of Msmc in Miami Beach, Florida. Dr. Rafols is also affiliated with Mount Sinai Medical Center. The medical group on file is Mount Sinai Medical Center.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Rafols practices. Vendor and product names are available with a free account.

Surgery is Dr. Rafols' primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Rafols is board certified in surgery by the American Board of Surgery. Dr. Rafols is licensed in Florida.

Dmand AI lists abdominal hernia repair surgery, appendectomy, gallbladder removal and groin hernia surgery among the conditions Dr. Rafols treats.

CMS data shows 262 Medicare services from Dr. Rafols across 6 procedure codes in 2024, for 122 Medicare patients. Medicare paid $15,563 for them.

CMS counts 122 Medicare patients who saw Dr. Rafols in 2024. The largest group is 75 to 84, with 44 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 43% are also on Medicaid. Their average risk score is 2.85, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Rafols' median patient age at 65, with 46% women.

In 2024, Dr. Rafols wrote 107 Medicare Part D claims for 64 patients. 96% of them were for generic drugs. CMS names the drug for 23 of them, across 1 drug with 11 or more claims each, at $121 in total drug cost. In 2023, CMS named 33 claims across 2 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Dr. Rafols for performance year 2024, reported through an alternative payment model (APM). Dr. Rafols accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Rafols as offering telehealth. CMS counts 15 procedures of hernia repair (minimally invasive) by Dr. Rafols, more than 81% of the clinicians it reports for that procedure.

Colonoscopy: 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Dmand AI links 3 papers to Dr. Rafols, published from 2018 to 2020. 2020 was the busiest year, with 2. Dr. Rafols has published most often in Case Rep Surg. Dr. Rafols' most frequent co-authors are John Alexis, MD, Anthony Rocco Andreoni, MD and Robert Athey Grossman, MD.

CMS Open Payments shows 35 general payments to Dr. Rafols from 12 drug and device companies from 2021 to 2025. Education make up the largest share, 67% of the total. Intuitive Surgical, Inc. paid the most, $9,195.

Dr. Rafols graduated from St. George's University School of Medicine in 2016.

Dr. Rafols is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.