2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1700291333 M.D.
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RAUL ROSARIO-CONCEPCION, M.D.

Sports Medicine (Family Medicine) Physician in MIAMI, Florida. 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
27
Medicare Part D claims · 14 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
76.2008/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$189.23
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAUL ROSARIO-CONCEPCION, M.D. reported a CMS MIPS final score of 76.2008/100 — below the 83.1 national average — and filed 27 Medicare Part D claims in 2023.

76.2008/100
MIPS score · -7 vs avg
27
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

RAUL ROSARIO-CONCEPCION, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

76 21st percentile higher than 21% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

RAUL ROSARIO-CONCEPCION, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about RAUL ROSARIO-CONCEPCION, M.D.?

Below national average

NPI registry status

Active

Issued 06/23/2014

NPI 1700291333

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

27 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

76.2008/100 6.899199999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Sports Medicine (Family Medicine) Physician compares to other specialties among Florida providers

Florida providers

Sports Medicine (Family Medicine) Physician share within Florida

1. Sports Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Family Medicine) Physician share within Florida

Medicare quality performance — MIPS

RAUL ROSARIO-CONCEPCION, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
76.2008/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 76.2008/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 76.2008/100 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).

RAUL ROSARIO-CONCEPCION, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 15955 SW 96TH ST STE 406, MIAMI, FL, 33196, with a listed phone of (786) 596-3876. NPI 1700291333 was issued on 06/23/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROSARIO-CONCEPCION 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 27 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $315 in drug spend. 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 76.2008/100 for the 2023 performance year (Quality 69.3395, Cost 51.3298), compared with the national average of 83.1.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

15955 SW 96TH ST STE 406
MIAMI, FL 33196

Provider Details

NPI 1700291333
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 06/23/2014

CMS Quality Score (MIPS)

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

76.2008
Final Score
Avg: 83.1
69.3395
Quality
51.3298
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAUL ROSARIO-CONCEPCION, M.D. 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.

BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC
MIAMI, FL
REHABCLINICS PTA INC
NORTH MIAMI BEACH, FL

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 RAUL ROSARIO-CONCEPCION, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$189

Largest payer

Siemens Medical Solutions USA, Inc.

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to RAUL ROSARIO-CONCEPCION, M.D.. To verify RAUL ROSARIO-CONCEPCION, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida 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.

27
Total Claims
$315
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
33
Total Day Supply
897
Brand Drug Cost
$0
Generic Drug Cost
$315

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.41

Sports Medicine (Family Medicine) Physician Overview

How RAUL ROSARIO-CONCEPCION, M.D. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

RAUL ROSARIO-CONCEPCION, M.D.'s 27 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as ROSARIO-CONCEPCION.

Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAUL ROSARIO-CONCEPCION, M.D.'s specialty?
RAUL ROSARIO-CONCEPCION, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in MIAMI, Florida. Credentials: M.D..
How much does RAUL ROSARIO-CONCEPCION, M.D. prescribe under Medicare Part D?
In 2023, RAUL ROSARIO-CONCEPCION, M.D. wrote 27 Medicare Part D claims totaling $315 in drug costs for 14 beneficiaries.
What is RAUL ROSARIO-CONCEPCION, M.D.'s Medicare quality score?
RAUL ROSARIO-CONCEPCION, M.D. has a CMS MIPS Final Score of 76.2008/100 (Quality: 69.3395, Cost: 51.3298). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAUL ROSARIO-CONCEPCION, M.D. located?
RAUL ROSARIO-CONCEPCION, M.D. is located at 15955 SW 96TH ST STE 406, MIAMI, FL, 33196. Phone: (786) 596-3876.
What is RAUL ROSARIO-CONCEPCION, M.D.'s NPI number?
RAUL ROSARIO-CONCEPCION, M.D.'s National Provider Identifier (NPI) is 1700291333, issued on 06/23/2014.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
Does RAUL ROSARIO-CONCEPCION, M.D. accept Medicare?
RAUL ROSARIO-CONCEPCION, M.D. appears in CMS Medicare data with 27 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAUL ROSARIO-CONCEPCION, M.D.'s credentials?
RAUL ROSARIO-CONCEPCION, M.D.'s NPI is 1700291333 with credentials M.D.. 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