Dr. Rafael Ramirez , MD
Internal Medicine • Riverview, FL
11924 Balm Riverview Road, Hillsborough
Riverview, FL 335693356
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 Ramirez is listed in NPPES under Internal Medicine.
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NPI assigned on November 28, 2005; this date does not establish years in practice.
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Published CMS data list 150 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 110 service units.
- 99223 — Initial hospital care with moderate level of medical decision making: 22 service units.
- 99238 — Hospital discharge day management: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 386 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – 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 — 42 prescription fills, including refills.
- Lantus (Insulin Glargine,hum.Rec.Anlog) — 40 prescription fills, including refills.
- Furosemide — 37 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Riverview, FL (2024, 22 clinicians with data). Median for this group: 432. Middle half: 152 to 788.
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: 687. Middle half: 277 to 1,489.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 344 in 2020 to 150 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
11924 Balm Riverview Road
Hillsborough
Riverview, FL 335693356
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in San Juan, PR. See the list
Source: CMS NPPES NPI Registry, practice location records; 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
1985
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
42 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 – by Provider, 2024.
Medicare-allowed amount
About $16,876 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 – by Provider and Service, 2024.
Paid by Medicare
About $13,446 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 – by Provider and Service, 2024.
30-day fills
544 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
$46,874 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $20.59 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
41 years (graduated 1985)
CMS Doctors and Clinicians data list 1985 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
2005
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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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, “Does your provider accept Medicare as full payment?”
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. Ramirez 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. Ramirez 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 Riverview and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Riverview, FL (2024, 22 clinicians with data). Median for this group: 432. Middle half: 152 to 788.
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: 687. Middle half: 277 to 1,489.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Riverview, FL (2024, 22 clinicians with data). Median for this group: $39,985. Middle half: $16,018 to $78,211.
A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: $68,256. Middle half: $27,620 to $138,398.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Internal Medicine in Riverview, FL (2024, 22 clinicians with data). Median for this group: $30,077. Middle half: $12,068 to $61,880.
A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: $52,728. Middle half: $20,807 to $107,475.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Internal Medicine in Riverview, FL (2024, 19 clinicians with data). Median for this group: 386. Middle half: 129 to 2,641.
Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Part D drug cost
Close to the middle for clinicians listed under Internal Medicine in Riverview, FL (2024, 19 clinicians with data). Median for this group: $16,540. Middle half: $6,434 to $184,319.
Close to the middle for clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: $86,865. Middle half: $8,159 to $434,445.
32 active clinicians are listed under Internal Medicine with a practice address in Riverview, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Riverview
25% of these 32 clinicians have the CMS telehealth indicator.
75% of these 32 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 decreased 56% from 344 in 2020 to 150 in 2024.
- 2020: 344
- 2021: 435
- 2022: 173
- 2023: 45
- 2024: 150
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Medicare-allowed amount
Medicare-allowed amount decreased 50% from $33,890 in 2020 to $16,876 in 2024.
- 2020: $33,890
- 2021: $41,713
- 2022: $17,699
- 2023: $2,635
- 2024: $16,876
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Paid by Medicare
Paid by Medicare decreased 50% from $27,026 in 2020 to $13,446 in 2024.
- 2020: $27,026
- 2021: $33,044
- 2022: $14,010
- 2023: $1,166
- 2024: $13,446
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 94% from 6,459 in 2020 to 386 in 2024.
- 2020: 6,459
- 2021: 6,118
- 2022: 5,262
- 2023: 3,061
- 2024: 386
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30-day fills
30-day fills decreased 93% from 8,152 in 2020 to 544 in 2024.
- 2020: 8,152
- 2021: 8,118
- 2022: 8,669
- 2023: 7,235
- 2024: 544
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Part D drug cost
Part D drug cost decreased 83% from $280,189 in 2020 to $46,874 in 2024.
- 2020: $280,189
- 2021: $281,652
- 2022: $224,107
- 2023: $128,131
- 2024: $46,874
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $216.28 in 2021 to $20.59 in 2025.
- 2021: $216.28
- 2022: $173.87
- 2023: $94.50
- 2024: $129.66
- 2025: $20.59
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 · 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 – December 31, 2025): fewer than 11 records totaling $20.59.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
VYNDAQEL | General | $20.59 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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110 | 34 | $116.86 | $109.33 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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22 | 22 | $170.12 | $159.27 |
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99238
Hospital discharge day management, 30 minutes or less
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18 | 18 | $79.76 | $74.76 |
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 | 42 | 2,100 | $361.18 | 25 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 40 | 1,383 | $3,486.86 | 17 |
| Furosemide | Furosemide | 37 | 1,650 | $203.80 | 22 |
| Eliquis | Apixaban | 33 | 1,050 | $20,751.93 | 16 |
| Losartan Potassium | Losartan Potassium | 31 | 1,588 | $177.13 | 16 |
| Humalog | Insulin Lispro | 22 | 754 | $1,734.78 | — |
| Metoprolol Succinate | Metoprolol Succinate | 21 | 870 | $287.18 | 14 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 19 | 750 | $219.89 | 12 |
| Amlodipine Besylate | Amlodipine Besylate | 19 | 810 | $73.71 | 13 |
| Hydralazine Hcl | Hydralazine Hcl | 19 | 800 | $251.32 | 11 |
| Metformin Hcl | Metformin Hcl | 18 | 1,080 | $78.92 | — |
| Amiodarone Hcl | Amiodarone Hcl | 18 | 660 | $372.38 | 11 |
| Farxiga | Dapagliflozin Propanediol | 15 | 450 | $8,818.52 | — |
| Entresto | Sacubitril/Valsartan | 14 | 480 | $9,636.33 | — |
| Clopidogrel | Clopidogrel Bisulfate | 13 | 510 | $99.11 | — |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | 630 | $179.75 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 12 | 600 | $141.20 | — |
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: 2022-08-25NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20220325000512
FL
6608849666
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
369 Calle De Diego, Torre Hosp San Francisco Suite 601
San Juan, PR 009233003
Phone: 7873672602
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine - Adult Medicine
Doctor of Medicine (M.D.)
General Practice
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as RAFAEL RAMIREZ, MD
Registered at 11924 BALM RIVERVIEW ROAD, HILLSBOROUGH, RIVERVIEW, FL 335693356 (Tel: 8137179000)
Registered at 11924 BALM RIVERVIEW ROAD, HILLSBOROUGH, RIVERVIEW, FL 33569 (Tel: 7874478989)
NPI status registered as active in NPPES database
Registered at 369 CALLE DE DIEGO, TORRE HOSP SAN FRANCISCO SUITE 601, SAN JUAN, PR 009233003 (Tel: 7873672602)
Registered at 223 SAN LORENZO STREET, RIO PIEDRAS HEIGHTS, SAN JUAN, PR 009263208 (Tel: 7874478989)
Recorded as RAFAEL RAMIREZ PEPEN, MD
Internal Medicine (license number reported to NPPES: PR 14564)
NPI status registered as active in NPPES database
Registered at 369 CALLE DE DIEGO, TORRE HOSP. SAN FRANCISCO SUITE 402, SAN JUAN, PR 009233003 (Tel: 7873672602)
Registered at 223 SAN LORENZO STREET, RIO PIEDRAS HEIGHTS, SAN JUAN, PR 009263208 (Tel: 7877587463)
Recorded as RAFAEL RAMIREZ PEPEN, MD
Internal Medicine (license number reported to NPPES: PR 14564)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Riverview
- Dr. Brendan Malik, MD
- Dr. Pramjeet Ahluwalia, MD
- Dr. Dayaker Kokku, MD
- Dr. Olivia Pop, MD
- Dr. Lee Haselhuhn, MD
- Ernest Fontecha
Mailing Address
11924 Balm Riverview Road, Hillsborough
Riverview, FL 33569
Phone: 7874478989