Physician Profile
Rafael J. Rafols, M.D.
Unclaimed ProfileAbout Dr. Rafols
Based in Edinburg, TX, Rafael J. Rafols, M.D. is listed in the NPI registry under family medicine. According to Medicare claims data, Rafael cared for 793 Medicare patients across 2,757 services. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more, and subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (956) 362-5525
- Email not available
Practice Locations
5509 DOCTORS DR
Edinburg, TX 78539
Conditions Commonly Evaluated or Treated
Within Family Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
- Allergies
- Diabetes
- Flu
- Hypothyroidism
- Strep throat
- UTI
Cardiometabolic
- High blood pressure
- High cholesterol
Digestive
- Acid reflux
- IBS
Genitourinary and reproductive
- Erectile dysfunction
- Heavy periods
Musculoskeletal and pain
- Gout
- Heel pain
Neurologic and behavioral
- ADHD
- Anxiety
- Depression
- Insomnia
- Migraines
Respiratory and infectious
- Acute bronchitis
- Asthma
- Sinus infection
Skin
- Acne
- Eczema
Common childhood and ear conditions
- Ear infection
- Pink eye
Pain & Joints
- Arthritis
- Back pain
Procedures & services
Most searched procedures
- Annual physical
- Blood test
- Flu shot
- Medicare wellness visit
- Sick visit
- TB test
- Well-woman exam
Preventive interventions
- Birth control counseling
- Smoking cessation counseling
Screening and testing
- Cholesterol screening
- Depression screening
- Diabetes and prediabetes screening
- EKG
Diagnostic Tests
- COVID-19 testing
- Rapid Strep and Flu Swabs
- Urine Drug Screen
Exams & Screenings
- Camp and School Physical
- Pre-Op Clearance Exam
Foot and Leg Pain
- Toenail Fungus Treatment
Heart & Circulation
- Blood Pressure Check
Injections
- Immunotherapy
- Vitamin B12 Injections
Lungs & Breathing
- Pulmonary function test
Minor Procedures
- Burn and Wound Care
- Ingrown toenail removal
- Suture removal
Occupational Health
- DOT Physical
Office procedures
- Earwax removal
- Incision and drainage of an abscess
- Superficial foreign-body removal
Pain Management
- Joint injections
Preventive Care
- Chronic Illness Checkup
- Routine Vaccines
- Travel Vaccines And Consult
Respiratory
- Breathing Treatment
Senior Care
- Cognitive Assessment
Sexual & Reproductive Health
- STD Swabs and Screening
Skin Procedures
- Cyst Removal
- Precancerous Sun Spot Freezing
- Skin Tag Removal
- Wart Removal
Sleep Health
- At-Home Sleep Study Order
Urgent Care Procedures
- Stitches and Laceration Repair
Wellness & Weight
- Weight Management Consult
Women's Health
- Hormone Replacement Therapy Consultation
Procedures Most Often Billed to Medicare
2,757 services · 793 patients · 17 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Removal of skin and tissue, 20.0 sq cm or less | Procedure | 11042 |
46 | Less often than most peers in Family Medicine |
| Removal of skin and tissue, 20.0 sq cm or less | Procedure | 11042 |
35 | Less often than most peers in Family Medicine |
| Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | Procedure | 15004 |
12 | Too few peers to compare |
| Management of oxygen chamber therapy | Treatment | 99183 |
247 | More often than most peers in Family Medicine |
| Removal of tissue from wound, 20.0 sq cm or less | Treatment | 97597 |
21 | Less often than most peers in Family Medicine |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
717 | More than most peers in Family Medicine |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
432 | More than most peers in Family Medicine |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
404 | More than most peers in Family Medicine |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
174 | More than most peers in Family Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
164 | More often than most peers in Family Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 1
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other family doctors in Edinburg 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
More connections — 16 related providers in 2 groups
Class of 2005 at Other 8
Providers who graduated from the same medical school in the same year.
Also performs Removal of skin and tissue, 20.0 sq cm or less 8
Providers in TX who bill this service to Medicare most often.
Common questions
What kind of doctor is Rafael J. Rafols?
Rafael J. Rafols is a family doctor in Edinburg, TX. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.
NPI registry
What is Rafael J. Rafols's address?
Rafael J. Rafols is listed at 5509 Doctors Dr, Edinburg, TX 78539. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Rafael J. Rafols?
The number on file is (956) 362-5525. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is Rafael J. Rafols's NPI number?
Rafael J. Rafols's National Provider Identifier is 1609028612. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Rafael J. Rafols train?
Rafael J. Rafols attended Other, graduating in 2005. This comes from the CMS National Downloadable File.
CMS public data
How long has Rafael J. Rafols been practicing?
Rafael J. Rafols has 21 years experience. Calculated from a graduation year of 2005, reported in the CMS National Downloadable File.
CMS public data
What procedures does Rafael J. Rafols perform?
According to Medicare billing data, Rafael J. Rafols performs procedures including removal of skin and tissue, 20.0 sq cm or less and preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less; provides treatments such as management of oxygen chamber therapy and removal of tissue from wound, 20.0 sq cm or less, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Rafael J. Rafols confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Rafael J. Rafols. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.