Dr. Raphy Alexis Gonzalez , MD
General Practice • Hatillo, PR
Carr #130 Km 5.4 Bo Naranjito Sector Lechuga
Hatillo, PR 006599415
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. Raphy Gonzalez is listed in NPPES under General Practice.
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NPI assigned on July 5, 2006; this date does not establish years in practice.
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Published CMS data list 18 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99283 — Emergency department visit with low level of medical decision making: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 2,213 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 — 217 prescription fills, including refills.
- Gabapentin — 138 prescription fills, including refills.
- Losartan Potassium — 112 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 66 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under General Practice in Hatillo, PR (2024, 43 clinicians with data). Median for this group: 2,321. Middle half: 560 to 6,895.
Close to the middle for Part D prescriptions among clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 1,647 in 2020 to 2,213 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
Carr #130 Km 5.4 Bo Naranjito Sector Lechuga
Hatillo, PR 006599415
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2002
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,281 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $914 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
2,409 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
$72,124 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.
Open Payments general payments, program year 2025
All general payments: $594.79 across 16 records.
By nature of payment
- Food and Beverage: $594.79 across 16 records.
Reporting-company totals
- AstraZeneca Pharmaceuticals LP: $424.38 across 9 records.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $125.86 across 5 records.
- Eli Lilly and Company: $44.55 across 2 records.
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
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 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
2006
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. Gonzalez 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. Gonzalez 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 Hatillo and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in Hatillo, PR (2024, 43 clinicians with data). Median for this group: 2,321. Middle half: 560 to 6,895.
Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Part D drug cost
Close to the middle for clinicians listed under General Practice in Hatillo, PR (2024, 43 clinicians with data). Median for this group: $115,467. Middle half: $24,587 to $352,458.
Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Gonzalez are from 2023.
58 active clinicians are listed under General Practice with a practice address in Hatillo, PR (4,196 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hatillo
1.7% of these 58 clinicians have the CMS telehealth indicator.
27.6% of these 58 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
CMS data for Medicare Part B services are available for 2023 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2023 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2023 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 34% from 1,647 in 2020 to 2,213 in 2024.
- 2020: 1,647
- 2021: 1,572
- 2022: 1,787
- 2023: 1,922
- 2024: 2,213
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30-day fills
30-day fills increased 38% from 1,741 in 2020 to 2,409 in 2024.
- 2020: 1,741
- 2021: 1,657
- 2022: 2,035
- 2023: 2,195
- 2024: 2,409
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Part D drug cost
Part D drug cost increased 192% from $24,732 in 2020 to $72,124 in 2024.
- 2020: $24,732
- 2021: $36,612
- 2022: $41,625
- 2023: $56,730
- 2024: $72,124
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $597.15 in 2021 to $594.79 in 2025.
- 2021: $597.15
- 2022: $786.37
- 2023: $377.32
- 2024: $678.56
- 2025: $594.79
Sources: CMS Medicare Physician & Other Practitioners (2023), 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): 16 records totaling $594.79.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $120.65 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
LOKELMA | General | $119.70 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $77.44 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $27.64 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $26.39 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $24.30 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $24.30 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $23.69 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $23.23 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $21.40 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $21.40 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
LOKELMA | General | $21.40 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $21.40 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $20.86 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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LOKELMA | General | $13.90 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $7.09 |
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 2022 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, 2023; 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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99283
Emergency department visit with low level of medical decision making
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18 | 16 | $72.18 | $71.15 |
Source: CMS Part B by Provider and Service, 2023; 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 | 217 | 7,408 | $1,304.86 | 28 |
| Gabapentin | Gabapentin | 138 | 4,335 | $1,234.69 | 17 |
| Losartan Potassium | Losartan Potassium | 112 | 3,960 | $807.81 | 16 |
| Metformin Hcl | Metformin Hcl | 104 | 3,600 | $562.75 | 18 |
| Etodolac | Etodolac | 80 | 1,040 | $1,192.65 | 54 |
| Omeprazole | Omeprazole | 77 | 2,220 | $440.65 | 19 |
| Synthroid | Levothyroxine Sodium | 76 | 2,700 | $4,363.30 | — |
| Amlodipine Besylate | Amlodipine Besylate | 72 | 2,280 | $228.78 | — |
| Simvastatin | Simvastatin | 66 | 2,040 | $187.84 | — |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 66 | 2,460 | $463.89 | 13 |
| Lisinopril | Lisinopril | 65 | 2,070 | $218.09 | — |
| Montelukast Sodium | Montelukast Sodium | 59 | 2,130 | $485.48 | 11 |
| Temazepam | Temazepam | 52 | 1,560 | $502.55 | — |
| Xigduo Xr | Dapaglifloz Propaned/Metformin | 44 | 1,380 | $27,018.35 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 43 | 1,245 | $269.02 | 13 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 34 | 1,380 | $359.67 | — |
| Glipizide Er | Glipizide | 34 | 1,020 | $243.04 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 34 | 1,511 | $1,285.06 | — |
| Glimepiride | Glimepiride | 32 | 1,200 | $402.25 | — |
| Metformin Hcl Er | Metformin Hcl | 32 | 960 | $176.86 | — |
| Naproxen | Naproxen | 31 | 275 | $121.74 | 27 |
| Fenofibrate | Fenofibrate | 27 | 870 | $355.03 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 26 | 944 | $179.66 | — |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 24 | 840 | $284.09 | — |
| Sure Comfort | Syringe-Needle,insulin,0.5 Ml | 23 | 690 | $299.90 | — |
(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: 2024-05-07NUCC 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 - GENERAL PRACTICE
I20050715000904
PR
0547296956
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at CARR #130 KM 5.4 BO NARANJITO SECTOR LECHUGA, HATILLO, PR 006599415 (Tel: 7878203232)
NPI status registered as active in NPPES database
Registered at CARR #2 KM 65.6, BO FACTOR 1, ARECIBO, PR 00612 (Tel: 7878812953)
Registered at PO BOX 141322, ARECIBO, PR 006141322 (Tel: 7878200553)
Recorded as RAPHY GONZALEZ, MD
General Practice (license number reported to NPPES: PR 15225)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Hatillo
- Dr. Rhina Benavides Martinez, MD
- Dr. Emelda Ruiz Morell, MD
- Dr. Angel Delvalle Torres, MD
- Dr. Felix Martinez Oliveras, MD
- Dr. Johannie Gonzalez, MD
- Dr. Kimberlyn Rios Arce, MD
Mailing Address
Po Box 141322
Arecibo, PR 006141322
Phone: 7878200553