DR. MICHAEL RAPHELSON MD
NPI 1225008790
Family Medicine - Hospice and Palliative Medicine in Kalamazoo, MI

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
222 N KALAMAZOO MALL STE 100, KALAMAZOO, MI 49007(269) 345-0273 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2022, Oct 5, 2020, Jul 8, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Michael Raphelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL RAPHELSON MD (NPI 1225008790) is an individual hospice and palliative medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301069625) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson South Haven Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1225008790
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameDR. MICHAEL RAPHELSONCredential: MD
Location Address222 N KALAMAZOO MALL STE 100Kalamazoo, MI 49007-3882
Mailing Address601 John Street, Box 42Kalamazoo, MI 49007
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1997
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 23, 20254 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1225008790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License Licensed in MI · 4301069625
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301069625 (MI)
222 N KALAMAZOO MALL STE 100, Kalamazoo, MI 49007

Secondary Practice Location 1

Location 16938 Elm Valley Dr Ste 101Kalamazoo, MI 49009-7438 · Phone (269) 552-4233

Other Identifiers 3

OtherCA4396MI · Railroad Medicare
Medicaid4574500MI
Medicaid4194092MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Raphelson 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.

PECOS PAC ID3072507805
PECOS Enrollment IDI20040413001510
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.42 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker (Clinical)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Internal Medicine (Hospice and Palliative Medicine)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker (Clinical)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker (Clinical)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007

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 Michael Raphelson's NPI number?

The NPI number for Michael Raphelson is 1225008790. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Michael Raphelson located?

Michael Raphelson practices at 222 N Kalamazoo Mall Ste 100, Kalamazoo, MI 49007. The listed phone number is (269) 345-0273.

What is Michael Raphelson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Michael Raphelson enrolled in Medicare?

Yes. Michael Raphelson 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.

What insurance does Michael Raphelson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Michael Raphelson 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 Michael Raphelson affiliated with any hospitals?

According to CMS data, Michael Raphelson is affiliated with Bronson South Haven Hospital.

When was this NPI record last updated?

The NPPES record for Michael Raphelson was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.