DR. RAFAEL M BONILLA-MARQUEZ (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1659477305
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
358 GERIATRIC MEDICINE in FL
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Provider Addresses for DR. RAFAEL M BONILLA-MARQUEZ (M.D.)
905, West Platt Street, Hyde Park, Tampa, Hillsborough County, Florida, 33606, United States
TAMPA, FL 336062113
Phone: (813) 254-0222
Fax: (813) 254-0204
Type: Mailing
PO BOX 22205
BELFAST, ME 049154473
Phone: (813) 874-5500
Fax: (813) 874-5505
Type: Mailing
2605 W SWANN AVE STE 100
TAMPA, FL 336094039
Phone: (813) 874-5500
Fax: (813) 874-5505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $378.
Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Novo Nordisk Inc ($180).
Total Amount
$378
General + Research + Ownership
Payments
11
Total payment records
General Amount
$378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $180 |
| Lilly USA, LLC | $166 |
| SHIELD THERAPEUTICS INC | $19 |
| Amgen Inc. | $14 |
| CENTERLINE BIOMEDICAL INC. | $0 |
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: 2004-10-13
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 |
|---|---|---|---|---|
| I20041013001080 | I | Internal Medicine | 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 | 281 | 135 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 149 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 69 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 | 13 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 33606)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 93922 | Ultrasound study of arteries of both arms and legs | 30 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | IL | |
| Internal Medicine | FL | |
| Family Practice | FL |
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