Rafael J Rafols, M.D.
Patients across TX can see Rafael J Rafols, M.D. in person in Edinburg or via virtual visit — no travel required. With 21+ years of experience, he has been practicing in the Edinburg area. Among his Medicare patients, common conditions include hypertension, diabetes, and high cholesterol (per CMS data).
Older · 3115dNPPES updated 2017-10-25 · verify on CMS
Contact & Location
Practice Location
5509 Doctors Dr, Edinburg, TX 78539-5563
How Does This Doctor Compare?
MIPS Score
20235.76/100
Texas avg: 79.1 · US avg: 83.6
⚠ Lower than most doctors nationally(-77.8 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Generic Rx
↑ Higher = better65.5%
Texas avg: 83.8 · US avg: 82.8
⚠ Lower than most doctors nationally(-17.3 pts)
How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
437
Unique beneficiaries
Standard volumePrescription Recipients
305
Patients prescribed
Prescriptions Written
770
Total claims
Total Medicare drug cost: $273k
Percentile rankings compared against 4,889 reporting peers in Texas.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, Diabetes, and High Cholesterol.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↑ More patients than average (+41%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Gradual loss of kidney function over time, often linked to diabetes or hypertension
US avg: 29.6%↑ More patients than average (+32%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+25%) — a focus area for this doctor
The heart cannot pump blood efficiently enough to meet the body's needs
US avg: 22.5%↑ More patients than average (+30%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%Conditions affecting emotional state, including depression and bipolar disorder
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$8.1k received from industry
16 transactions reported in 2024 ·High tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Rafael J Rafols's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
21 years in practice
Experienced
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy: 207Q00000X
Mailing address
2701 Santa Laura, Mission, TX 78572-7977
Differs from practice location
Virtual Family Medicine Care With Rafael J Rafols
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Rafael J Rafols for blood pressure monitoring, diabetes check-ins, cholesterol management — no travel to Edinburg required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Rafael J Rafols
NPI records show Dr. Rafols as active with telehealth listed in Edinburg, TX. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (956) 362-5525.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Rafael J Rafols
Practice Location
5509 Doctors Dr, Edinburg, TX 78539-5563
Mailing Address
2701 Santa Laura, Mission, TX 78572-7977
This is a provider directory. Contact the office directly to schedule appointments.
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