Dr. Rafael Cartaya , MD
General Practice โข Miami, FL
8260 W Flagler St Ste 2i
Miami, FL 331442069
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Rafael Cartaya is listed in NPPES under General Practice.
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NPI assigned on December 15, 2021; this date does not establish years in practice.
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Published CMS data list 6,123 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99308 โ Subsequent nursing facility care with straightforward level of medical decision making, per day: 2,691 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 1,579 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 749 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 6,782 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 481 prescription fills, including refills.
- Gabapentin โ 305 prescription fills, including refills.
- Eliquis (Apixaban) โ 257 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 129 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: 119. Middle half: 63 to 335.
More Medicare Part B services than 95% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 845 in 2022 to 6,123 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
8260 W Flagler St Ste 2i
Miami, FL 331442069
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Nova Hospitalist Group Llc; Nova Medical Services Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1995
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
633 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $582,261 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $461,462 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
6,794 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$683,692 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $343.74 across 6 records.
By nature of payment
- Food and Beverage: $343.74 across 6 records.
Reporting-company totals
- Teva Pharmaceuticals USA, Inc.: $172.99 across 4 records.
- Neurocrine BioSciences, Inc.: $143.84 across 1 record.
- Gilead Sciences, Inc.: $26.91 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Cartaya has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Cartaya as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Miami and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: 119. Middle half: 63 to 335.
More Medicare Part B services than 95% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: $13,208. Middle half: $4,753 to $41,565.
A higher Medicare-allowed amount than 95% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: $9,830. Middle half: $3,433 to $30,148.
A higher Medicare payment amount than 95% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under General Practice in Miami, FL (2024, 155 clinicians with data). Median for this group: 2,748. Middle half: 534 to 8,097.
More Part D prescriptions than 70% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under General Practice in Miami, FL (2024, 155 clinicians with data). Median for this group: $165,864. Middle half: $21,215 to $482,159.
A higher Part D drug cost than 85% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
285 active clinicians are listed under General Practice with a practice address in Miami, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Miami
9.1% of these 285 clinicians have the CMS telehealth indicator.
42.8% of these 285 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 625% from 845 in 2022 to 6,123 in 2024.
- 2022: 845
- 2023: 4,288
- 2024: 6,123
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Medicare-allowed amount
Medicare-allowed amount increased 613% from $81,718 in 2022 to $582,261 in 2024.
- 2022: $81,718
- 2023: $451,433
- 2024: $582,261
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Paid by Medicare
Paid by Medicare increased 609% from $65,104 in 2022 to $461,462 in 2024.
- 2022: $65,104
- 2023: $358,130
- 2024: $461,462
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 421% from 1,301 in 2023 to 6,782 in 2024.
- 2023: 1,301
- 2024: 6,782
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30-day fills
30-day fills increased 415% from 1,319 in 2023 to 6,794 in 2024.
- 2023: 1,319
- 2024: 6,794
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Part D drug cost
Part D drug cost increased 650% from $91,206 in 2023 to $683,692 in 2024.
- 2023: $91,206
- 2024: $683,692
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $34.13 in 2023 to $343.74 in 2025.
- 2023: $34.13
- 2024: $293.21
- 2025: $343.74
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $343.74.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $143.84 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $117.86 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $28.86 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $26.91 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $13.64 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $12.63 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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2,691 | 385 | $178.94 | $77.47 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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1,579 | 337 | $219.31 | $111.54 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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749 | 254 | $220.09 | $111.13 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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576 | 255 | $191.98 | $77.63 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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101 | 84 | $265.48 | $138.47 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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93 | 90 | $349.14 | $188.92 |
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99497
Advance care planning, first 30 minutes
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92 | 91 | $154.13 | $78.28 |
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99316
Nursing facility discharge management, more than 30 minutes
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52 | 50 | $266.92 | $136.41 |
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99316
Nursing facility discharge management, more than 30 minutes
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26 | 26 | $266.27 | $136.07 |
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99495
Transitional care management services for problem of at least moderate complexity
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26 | 24 | $366.15 | $213.04 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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25 | 23 | $356.40 | $188.71 |
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99497
Advance care planning, first 30 minutes
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25 | 25 | $155.40 | $85.77 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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19 | 18 | $264.05 | $138.63 |
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99315
Nursing facility discharge day management, 30 minutes or less
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17 | 17 | $172.29 | $84.97 |
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99491
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month
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15 | 15 | $170.00 | $87.27 |
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99315
Nursing facility discharge day management, 30 minutes or less
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13 | 13 | $168.69 | $84.29 |
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G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
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13 | 13 | $128.00 | $64.03 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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11 | 11 | $133.36 | $55.63 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 481 | 13,227 | $9,184.88 | 111 |
| Gabapentin | Gabapentin | 305 | 7,906 | $6,902.56 | 69 |
| Eliquis | Apixaban | 257 | 3,659 | $70,522.70 | 58 |
| Losartan Potassium | Losartan Potassium | 216 | 6,104 | $2,547.19 | 47 |
| Trazodone Hcl | Trazodone Hcl | 211 | 5,718 | $2,125.37 | 48 |
| Metformin Hcl | Metformin Hcl | 208 | 5,561 | $1,956.17 | 47 |
| Amlodipine Besylate | Amlodipine Besylate | 202 | 5,274 | $1,527.12 | 50 |
| Furosemide | Furosemide | 185 | 4,347 | $1,293.74 | 53 |
| Clopidogrel | Clopidogrel Bisulfate | 179 | 4,597 | $2,161.97 | 38 |
| Lisinopril | Lisinopril | 157 | 3,718 | $1,208.80 | 32 |
| Tamsulosin Hcl | Tamsulosin Hcl | 150 | 3,867 | $2,431.91 | 43 |
| Quetiapine Fumarate | Quetiapine Fumarate | 141 | 3,292 | $3,292.87 | 41 |
| Mirtazapine | Mirtazapine | 133 | 3,533 | $3,708.63 | 36 |
| Levothyroxine Sodium | Levothyroxine Sodium | 132 | 3,509 | $2,058.00 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 132 | 3,122 | $1,783.67 | 56 |
| Finasteride | Finasteride | 126 | 3,485 | $1,633.36 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 126 | 3,269 | $2,248.56 | 36 |
| Donepezil Hcl | Donepezil Hcl | 117 | 3,338 | $1,496.71 | 24 |
| Nifedipine Er | Nifedipine | 113 | 2,921 | $2,750.77 | 30 |
| Carvedilol | Carvedilol | 107 | 2,621 | $940.99 | 31 |
| Metoprolol Tartrate | Metoprolol Tartrate | 103 | 2,731 | $978.68 | 35 |
| Glipizide | Glipizide | 96 | 2,676 | $1,247.10 | 26 |
| Sertraline Hcl | Sertraline Hcl | 88 | 2,445 | $906.16 | 24 |
| Baclofen | Baclofen | 80 | 1,861 | $1,874.07 | 21 |
| Levetiracetam | Levetiracetam | 80 | 2,071 | $4,227.36 | 20 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-06-20NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20220628001920
FL
2961881511
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Nova Medical Services Llc
8260 W Flager St, Miami, FL 331442069
Phone: 7867159183
Nova Hospitalist Group Llc
8260 W Flager St, Miami, FL 331442069
Phone: 8663471821
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Nurse Practitioner - Family
Doctor of Nursing Practice
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8260 W FLAGLER ST STE 2I, MIAMI, FL 331442069 (Tel: 7867159183)
Registered at 8260 W FLAGLER ST STE 2I, MIAMI, FL 331442069 (Tel: 7867159183)
NPI status registered as active in NPPES database
Registered at 222 W 42ND ST, HIALEAH, FL 330123913 (Tel: 7863513500)
Registered at 222 W 42ND ST, HIALEAH, FL 330123913 (Tel: 7863513500)
Recorded as RAFAEL CARTAYA, MD
General Practice (license number reported to NPPES: PR 022581)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Miami
- Dr. Eufemia Cando, MD
- Dr. Guido Perez, MD
- Dr. Vladimir Santos, MD
- Dr. Carlos Torrents, MD
- Dr. Rafael Perez Gonzalez, MD
- Dr. Judith Valencia, MD
Mailing Address
8260 W Flagler St Ste 2i
Miami, FL 331442069
Phone: 7867159183