NPPES file of Aug 9, 2026

Rafael Abreu, M.D

Family Medicine Physician · Hialeah, FL

Rafael Abreu, M.D is a family medicine physician with a practice address in Hialeah, Florida, and NPI 1265769822, issued on Nov 3, 2009. Check the license (Florida ME109733, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265769822
Name
Rafael Abreu
Credential
M.D
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
ME109733 FL
Self-reported in NPPES; status is on the state search
Practice location
1435 W 49TH PL Ste 500, Hialeah, FL 33012
Phone
(305) 392-0380
Enumerated
Nov 3, 2009
Record last updated
Jan 31, 2024
Fax
(305) 603-9683
Medicare enrollment
Enrolled (PECOS I20120110000698); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1435 W 49TH PL Ste 500

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kevin Souza, MDAnesthesiology Physician1568014082

Verify Rafael Abreu in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME109733
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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6.6 times the Medicare Part D claims of the average family medicine physician in 2024

23,258 Medicare Part D claims for 1,081 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 71 claims were for opioids.

  1. Rafael Abreu23,258
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium936 claims
  2. Eliquis674 claims
  3. Amlodipine Besylate636 claims
  4. Montelukast Sodium588 claims
  5. Famotidine582 claims
  6. Losartan Potassium548 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 26.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score15.0
  2. Costout of 100 · 30%36.2
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $765.65

18 payments; by number, the most common kind was food and beverage; the largest payer was Ucb, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Rafael Abreu$765.65
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. First Docs PCHialeah, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Rafael Abreu among 9,399 family medicine physician records in Florida

Rafael Abreu, M.D is one of 9,399 family medicine physician records with a practice address in Florida. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 58% of them.

  • NPI issued2009 · 58% of these records are older, 39% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated1989 · median 2004 among the 5,504 with a school on file
  • Record last updated2024 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

112 family medicine physician records list a practice address in Hialeah

They are 112 of the 10,443 NPPES records with a practice address in Hialeah, and 9,399 family medicine physician records in Florida.

The 8 family medicine physician records with the nearest ZIP codes

  1. Dario Altamirano, DOHialeah, FL 330121871571471
  2. Ivan Castano, M.DHialeah, FL 330121649299652
  3. Ramiro Coro, M.D.Hialeah, FL 330121851320790
  4. Sara Cuellar, M.D.Hialeah, FL 330121285741694
  5. Stefano DimauroHialeah, FL 330121295744696
  6. Luis Felipe, M.D.Hialeah, FL 330121649339730
  7. Alfredo Fernandez, MDHialeah, FL 330121255320263
  8. Antonio Mora, M.D.Hialeah, FL 330121891729919

Common questions

What is Rafael Abreu, M.D's NPI number?

Rafael Abreu, M.D's National Provider Identifier (NPI) is 1265769822, issued on Nov 3, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Rafael Abreu, M.D located?

The NPPES record lists a practice address at 1435 W 49TH PL Ste 500, Hialeah, FL, 33012. Phone: (305) 392-0380. Providers update this record themselves, so call before visiting.

How can I verify Rafael Abreu, M.D's license?

NPPES lists Florida license number ME109733, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Rafael Abreu, M.D prescribe under Medicare Part D?

In 2024, Rafael Abreu, M.D had 23,258 Medicare Part D claims for 1,081 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Rafael Abreu, M.D's MIPS final score?

The 2023 MIPS final score is 26.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.