Rafael A. Cortes, MD
Gastroenterology Physician · St Augustine, FL
Rafael A. Cortes, MD is a gastroenterology physician with a practice address in St Augustine, Florida, and NPI 1770729816, issued on Dec 19, 2008. Check the license (Florida ME90959, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Rafael A. Cortes
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- ME90959 FL
Self-reported in NPPES; status is on the state search - Practice location
- 100 Whetstone PL, St Augustine, FL 32086
- Phone
- (904) 829-9557
- Enumerated
- Dec 19, 2008
- Record last updated
- Jun 11, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (904) 829-9125
- Medicaid ID
- 001047300 FL
- Medicare enrollment
- Enrolled (PECOS I20091012000078); accepts Medicare assignment
- Medical or professional school
- University Central Del Caribe Escuela De Medicina, 2004
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 1,513 in Florida → Look up another NPI →
Also registered at 100 Whetstone PL
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bernard Borbely, MDPulmonary Disease Physician1063410991
- Heather Conlon, ARNPFamily Nurse Practitioner1326494527
- William Foody, M.D.Gastroenterology Physician1114906195
- Jennifer Geric, DMDDentist1801025614
- David Greenwald, M.D.Neurological Surgery Physician1962516310
- Willemijntje Hoogerwerf, MDGastroenterology Physician1548348089
Verify Rafael A. Cortes in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME90959Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5% more Medicare Part D claims than the average gastroenterology physician in 2024
848 Medicare Part D claims for 319 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.
Most prescribed
- Pantoprazole Sodium131 claims
- Omeprazole124 claims
- Plenvu114 claims
- Linzess30 claims
- Esomeprazole Magnesium29 claims
- Furosemide20 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 practice group's MIPS final score for 2023 (Medicare payment program): 77.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,816.58
99 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Borland Groover Clinic, PASt Augustine, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rafael A. Cortes among 1,513 gastroenterology physician records in Florida
Rafael A. Cortes, MD is one of 1,513 gastroenterology physician records with a practice address in Florida. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 63% of them.
- NPI issued2008 · 63% of these records are older, 32% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated2004 · median 2000 among the 1,156 with a school on file
- Record last updated2015 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
18 gastroenterology physician records list a practice address in St Augustine
They are 18 of the 1,841 NPPES records with a practice address in St Augustine, and 1,513 gastroenterology physician records in Florida.
All 1,513 in Florida → Every provider in St Augustine → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Anis Ahmadi, MDSaint Augustine, FL 320861932270832
- William Barlow, MDSt Augustine, FL 320861700073251
- Timothy Cavacini, D.O.St Augustine, FL 320861730140583
- William Foody, M.D.St Augustine, FL 320861114906195
- Daniel Gassert, M.D.St Augustine, FL 320861073575403
- Willemijntje Hoogerwerf, MDSt Augustine, FL 320861548348089
- Camille McGaw, M.D.St Augustine, FL 320861154640779
- Badri Mehrotra, M.D. P.A.St Augustine, FL 320861497789721
Common questions
What is Rafael A. Cortes, MD's NPI number?
Rafael A. Cortes, MD's National Provider Identifier (NPI) is 1770729816, issued on Dec 19, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Rafael A. Cortes, MD located?
The NPPES record lists a practice address at 100 Whetstone PL, St Augustine, FL, 32086. Phone: (904) 829-9557. Providers update this record themselves, so call before visiting.
How can I verify Rafael A. Cortes, MD's license?
NPPES lists Florida license number ME90959, 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 A. Cortes, MD prescribe under Medicare Part D?
In 2024, Rafael A. Cortes, MD had 848 Medicare Part D claims for 319 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Rafael A. Cortes, MD's MIPS final score?
The 2023 MIPS final score is 77.2 of 100, reported for the practice group. 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.