Rafael Medina, M.D.
NPI 1265416598ActiveIndividual· Ophthalmology· Cooperstown, NY
Ophthalmology (M.D.) in Cooperstown, New York, trained at University of Wisconsin School of Medicine (class of 1994). In 2024 Medicare paid $59,260 for 400 patients, and Part D covered 788 of their prescriptions, 63% of them generic. Mallinckrodt Hospital Products Inc. was the largest of 4 companies reporting payments in 2025, $184.94 in all, mostly food and beverage.
Overview
| NPI | 1265416598 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 30, 2005 |
| Last updated in NPPES | Oct 14, 2025 |
| Certified by provider | Oct 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 212374-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 400 |
|---|---|
| Services billed | 1,063 across 36 procedure codes |
| Paid by Medicare | $59,260 |
Part D prescriptions in 2024
| Prescriptions (claims) | 788 · 1,138 30-day fills |
|---|---|
| Patients | 268 |
| Total drug cost | $66,168 |
| Generic share | 63% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Ophthalmology |
Medical groups
- Mary Imogene Bassett HospitalSidney, NY · 763 clinicians
- Kwiat Eye and Laser Surgery PLLCAmsterdam, NY · 6 clinicians
Hospital affiliations
- Aurelia Osborn Fox Memorial HospitalOneonta, NY
- Bassett HealthcareCooperstown, NY
- Little Falls HospitalLittle Falls, NY
Industry payments (Open Payments)
- 2025$184.94 · 7 payments from 4 companies
- 2024$34.74 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mallinckrodt Hospital Products Inc. | $110.55 | 4 |
| Astellas Pharma US Inc | $29.80 | 1 |
| Genentech USA, Inc. | $24.44 | 1 |
| Bausch & Lomb Americas Inc. | $20.15 | 1 |
What the 2025 payments were for
- Food and Beverage$184.94 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Ophthalmology providers in Cooperstown
- 1558056531
- 1184691065
- 1205899002
- 1073576773
- 1528022985
- 1598729964