DR. PAUL VARASTAD RAPHAELIAN MD
NPI 1164450201
Ophthalmology - Retina Specialist in Norton Shores, MI
About Dr. Paul Varastad Raphaelian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL VARASTAD RAPHAELIAN MD (NPI 1164450201) is an individual retina specialist in Norton Shores, Michigan, licensed in Michigan (4301066043) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Rush Medical College Of Rush University (1989).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul Varastad Raphaelian Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Paul Raphaelian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Health Muskegon Hospital
Acute Care Hospitals · Muskegon, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTON SHORES, MI 49444
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Raphaelian's NPI number?
The NPI number for Paul Raphaelian is 1164450201. It was assigned to this individual provider in the NPPES registry on June 29, 2006.
Where is Paul Raphaelian located?
Paul Raphaelian practices at 5957 Harvey St 100, Norton Shores, MI 49444. The listed phone number is (231) 733-7832.
What is Paul Raphaelian's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Paul Raphaelian enrolled in Medicare?
Yes. Paul Raphaelian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Paul Raphaelian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Raphaelian reassigns Medicare benefits to Associated Retinal Consultants, PC (Royal Oak, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Raphaelian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Raphaelian accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Paul Raphaelian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Paul Raphaelian affiliated with any hospitals?
According to CMS data, Paul Raphaelian is affiliated with Trinity Health Muskegon Hospital.
When was this NPI record last updated?
The NPPES record for Paul Raphaelian was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Paul Varastad Raphaelian, MD · NPI 1164450201
Retina Specialist physician in Norton Shores, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1164450201 (Entity type: Individual)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** 4301066043 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5957 HARVEY ST, 100, Norton Shores, MI 49444-9737
- **Phone:** (231) 733-7832 · **Fax:** (231) 733-2666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Associated Retinal Consultants, PC (NPI 1215003793, Royal Oak, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1989
## Record status
- **NPPES last updated:** January 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164450201) · Data from the CMS NPPES public registry.