Rafael A. Cortes, MD
NPI 1770729816ActiveIndividual· Internal Medicine, Gastroenterology· St Augustine, FL
Internal Medicine, Gastroenterology (MD) in St Augustine, Florida, trained at University Central del Caribe Escuela de Medicina (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $568,149 for 848 claims, against $241,008 paid for services in 2024. Abbvie Inc. was the largest of 18 companies reporting payments in 2025, $2,165 in all, mostly food and beverage.
Overview
| NPI | 1770729816 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 19, 2008 |
| Last updated in NPPES | Jun 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | ME90959 | FL |
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 - Gastroenterology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 547 |
|---|---|
| Services billed | 9,613 across 49 procedure codes |
| Paid by Medicare | $241,008 |
Part D prescriptions in 2024
| Prescriptions (claims) | 848 · 1,325 30-day fills |
|---|---|
| Patients | 319 |
| Total drug cost | $568,149 |
| Generic share | 65% of claims |
Education and affiliations
| Medical school | University Central del Caribe Escuela de Medicina |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Gastroenterology |
Medical group
- Borland Groover Clinic, PAOrmond Beach, FL · 130 clinicians
Hospital affiliations
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
- Flagler HospitalSaint Augustine, FL
- HCA Florida Putnam HospitalPalatka, FL
Industry payments (Open Payments)
- 2025$2,165 · 117 payments from 18 companies
- 2024$1,834 · 100 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $408.63 | 22 |
| Takeda Pharmaceuticals U.S.A., Inc. | $398.14 | 21 |
| Janssen Biotech, Inc. | $283.55 | 19 |
| Madrigal Pharmaceuticals | $242.02 | 13 |
| Lilly USA, LLC | $180.21 | 10 |
What the 2025 payments were for
- Food and Beverage$2,165 · 117 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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