Quick answers
- Does Rafael A. Ponce Terashima accept Medicare assignment?
- Yes. Medicare's clinician data says Rafael A. Ponce Terashima accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Rafael A. Ponce Terashima see?
- In 2024, CMS data shows 109 Original Medicare patients and 367 services for Rafael A. Ponce Terashima. This counts Original Medicare only and measures volume, not quality.
- What is Rafael A. Ponce Terashima's NPI number?
- 1962720326. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Rafael A. Ponce Terashima, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 109 |
|---|---|
| Services billed to Medicare | 367 |
| Different services or procedures | 23 |
| Participating Medicare provider | Yes |
| Average age of these patients | 70 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)104 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)79 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)58 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)36 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)17 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Chronic kidney disease61%
- Diabetes54%
- Ischemic heart disease50%
- Heart failure49%
Hospitals where Rafael A. Ponce Terashima works
Medicare's Facility Affiliation Data lists Rafael A. Ponce Terashima at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Atrium Health Navicent the Medical CenterMacon, GA · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 110107
Practice locations
Addresses where Rafael A. Ponce Terashima is enrolled with Medicare (CMS data updated October 2, 2026).
- 101 Yorktown DrFayetteville, GA 30214
- 101 Yorktown Dr, Suite 100Fayetteville, GA 30214 (770) 460‑4285
- 250 Martin Luther King Jr BlvdMacon, GA 31201 (478) 301‑4111
- 3920 Arkwright Rd, Suite 415Macon, GA 31210 (478) 297‑5190
- 777 Hemlock StMacon, GA 31201 (478) 633‑1000
Group practices
Medicare enrollment lists Rafael A. Ponce Terashima as a member of these groups (CMS data updated October 2, 2026).
- Privia Medical Group of Georgia LLC462 clinicians in the group
- Houston County Health Department2 clinicians in the group
Specialties
- Infectious Diseaseprimary
- Internal Medicinealso
Other infectious disease doctors in Fayetteville
Clinicians with the same Medicare primary specialty in Fayetteville, GA — not a recommendation.
Other clinicians in Privia Medical Group of Georgia LLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 2005 (21 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1962720326 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians