DR. RAFAEL MEDINA-FLORES (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1891898235
Anatomic Pathology & Clinical Pathology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for DR. RAFAEL MEDINA-FLORES (M.D.)
Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
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)
No Open Payments data available for this provider.
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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: 2011-08-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110824000540 | I | Pathology | WI | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 3,224 | 1,174 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,492 | 858 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 1,180 | 807 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 825 | 720 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 716 | 415 | $0 |
Insurance plans in this area (ZIP 54449)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | WI | 83036 | Hemoglobin A1C level | 22 | 17 |
| PATHOLOGY | WI | 85610 | Blood test, clotting time | 114 | 29 |
| PATHOLOGY | WI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 43 | 37 |
| PATHOLOGY | WI | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 48 | 26 |
| PATHOLOGY | WI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 27 | 17 |
| PATHOLOGY | WI | 88342 | Tissue or cell analysis by immunologic technique | 73 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| - | WI | |
| - | WI |
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