DR. BRIAN PHILIP RAJCA (M.D.) – Internal Medicine Physician, NPI 1083876197
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
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Provider Addresses for DR. BRIAN PHILIP RAJCA (M.D.)
Del Prado Boulevard South, Cape Coral, Lee County, Florida, 3394, United States
CAPE CORAL, FL 339902667
Phone: (239) 772-3636
Fax: (239) 772-5073
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,083.
Total Amount is formed as General ($1,083) + Research ($0) + Ownership ($0) = $1,083.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($350).
Total Amount
$1,083
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,083
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $350 |
| Axonics, Inc. | $137 |
| Janssen Biotech, Inc. | $85 |
| FUJIFILM Healthcare Americas Corporation | $55 |
| RedHill Biopharma Inc. | $51 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160419000005 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 532 | 371 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 351 | 331 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 281 | 281 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 204 | 180 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 185 | 185 | $0 |
Insurance plans in this area (ZIP 33990)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 45378 | Diagnostic examination of large bowel using an endoscope | 74 | 73 |
| GASTROENTEROLOGY | FL | 45385 | Removal of polyps or growths of large bowel using an endoscope | 122 | 118 |
| GASTROENTEROLOGY | FL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 242 | 160 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Gastroenterology, Internal Medicine | FL | |
| - | FL |
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