2026 NPPES data Otolaryngology Physician NPI 1780188896 MD
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RAFAEL CARDONA RODRIGUEZ, MD

Otolaryngology Physician in WHITE PLAINS, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
214
Medicare Part D claims · 135 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
91.2882/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$205.99
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAFAEL CARDONA RODRIGUEZ, MD is a Otolaryngology Physician ([object Object]) practicing in WHITE PLAINS, New York with a Medicare Part D prescribing footprint of 214 claims across 135 beneficiaries . Their CMS MIPS Final Score of 91.2882/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $205.99 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAFAEL CARDONA RODRIGUEZ, MD reported a CMS MIPS final score of 91.2882 out of 100, above the 83.1 national average, and filed 214 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAFAEL CARDONA RODRIGUEZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RAFAEL CARDONA RODRIGUEZ, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/22/2018

NPI 1780188896

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

214 58% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

91.2882/100 8.188200000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Otolaryngology Physician compares to other specialties among New York providers

New York providers

Otolaryngology Physician share within New York

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within New York

Medicare quality performance — MIPS

RAFAEL CARDONA RODRIGUEZ, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
91.2882/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 91.2882/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Otolaryngology Physician) — 91.2882/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RAFAEL CARDONA RODRIGUEZ, MD is a Otolaryngology Physician provider practicing in WHITE PLAINS, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1780188896. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RAFAEL CARDONA RODRIGUEZ, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 222 BLOOMINGDALE RD FL 2, WHITE PLAINS, NY, 10605, with a listed phone of (914) 949-3888. NPI 1780188896 was issued on 03/22/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARDONA RODRIGUEZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 214 prescription claims written by this provider, covering 135 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 8.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.2882/100 for the 2023 performance year (Quality 84.1603), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

222 BLOOMINGDALE RD FL 2
WHITE PLAINS, NY 10605

Provider Details

NPI 1780188896
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 03/22/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.2882
Final Score
Avg: 83.1
84.1603
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAFAEL CARDONA RODRIGUEZ, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ENT AND ALLERGY ASSOCIATES LLP
YONKERS, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for RAFAEL CARDONA RODRIGUEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$206

Largest payer

Novartis Pharmaceuticals Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to RAFAEL CARDONA RODRIGUEZ, MD. To verify RAFAEL CARDONA RODRIGUEZ, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

214
Total Claims
$5K
Total Drug Cost
135
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
264
Total Day Supply
4,766
Generic Drug Cost
$3K
Opioid Claims
19 (8.9% rate)
Antibiotic Claims
67

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.11
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Fluticasone Propionate
33
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
26
Methylprednisolone
18
Ipratropium Bromide
16
Oxycodone Hcl
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How RAFAEL CARDONA RODRIGUEZ, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

RAFAEL CARDONA RODRIGUEZ, MD's 214 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as CARDONA RODRIGUEZ.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL CARDONA RODRIGUEZ, MD's specialty?
RAFAEL CARDONA RODRIGUEZ, MD specializes in Otolaryngology Physician and practices in WHITE PLAINS, New York. Credentials: MD.
How much does RAFAEL CARDONA RODRIGUEZ, MD prescribe under Medicare Part D?
In 2023, RAFAEL CARDONA RODRIGUEZ, MD wrote 214 Medicare Part D claims totaling $5K in drug costs for 135 beneficiaries.
What is RAFAEL CARDONA RODRIGUEZ, MD's Medicare quality score?
RAFAEL CARDONA RODRIGUEZ, MD has a CMS MIPS Final Score of 91.2882/100 (Quality: 84.1603). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAFAEL CARDONA RODRIGUEZ, MD located?
RAFAEL CARDONA RODRIGUEZ, MD is located at 222 BLOOMINGDALE RD FL 2, WHITE PLAINS, NY, 10605. Phone: (914) 949-3888.
What is RAFAEL CARDONA RODRIGUEZ, MD's NPI number?
RAFAEL CARDONA RODRIGUEZ, MD's National Provider Identifier (NPI) is 1780188896, issued on 03/22/2018.
Does RAFAEL CARDONA RODRIGUEZ, MD prescribe opioids?
Yes, RAFAEL CARDONA RODRIGUEZ, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 8.9%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does RAFAEL CARDONA RODRIGUEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL CARDONA RODRIGUEZ, MD's most frequently prescribed drugs include Fluticasone Propionate, Amoxicillin-Clavulanate Potass, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL CARDONA RODRIGUEZ, MD accept Medicare?
RAFAEL CARDONA RODRIGUEZ, MD appears in CMS Medicare data with 214 Part D claims and 135 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL CARDONA RODRIGUEZ, MD's credentials?
RAFAEL CARDONA RODRIGUEZ, MD's NPI is 1780188896 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology