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DR. DENNIS THOMAS RAFAILL MD MS
NPI 1326013533
Internal Medicine in Milford, MI

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
1265 N MILFORD RD, MILFORD FAMILY PRACTICE, MILFORD, MI 48381(248) 685-3600(248) 685-0057 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dennis Thomas Rafaill Md Ms NPPES

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

DR. DENNIS THOMAS RAFAILL MD MS (NPI 1326013533) is an individual internal medicine provider in Milford, Michigan, licensed in Michigan (DR056023) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Huron Valley-sinai Hospital, and is a graduate of Wayne State University School Of Medicine (1990).

NPPES Registry Identity

NPI1326013533
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DENNIS THOMAS RAFAILLCredential: MD MS
Location Address1265 N MILFORD RD, MILFORD FAMILY PRACTICEMilford, MI 48381
Mailing Address1265 N Milford RdMilford, MI 48381 · (248) 685-3600 · Fax (248) 685-0057
Phone(248) 685-3600
Fax(248) 685-0057
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1990
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMarch 9, 2010
✔ NPI 1326013533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · DR056023
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR056023 (MI)
1265 N MILFORD RD, Milford, MI 48381
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF61997
Medicare ID-Type Unspecified0791890003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.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. Dennis Thomas Rafaill Md Ms 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 ID2567405244
PECOS Enrollment IDI20100722000779
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services56 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
39 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48381 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers32 claims102 services$6.52 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims5,244 services$0.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$21.67 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.

DR. DEBORAH A BOOTH DO
Family Medicine
1265 N MILFORD RD, MILFORD FAMILY PRACTICE
MILFORD, MI 48381
Oakland County (248) 685-3600
MILFORD FAMILY PRACTICE
Family Medicine
1265 N MILFORD RD
MILFORD, MI 48381
Oakland County (248) 685-3600
MS. DIANE MARIE ABEL WILLIAMS PA C
Physician Assistant
1265 N MILFORD RD, MILFORD FAMILY PRACTICE
MILFORD, MI 48381
Oakland County (248) 685-3600
DR. ALEXIS YOVAN DO
Family Medicine
1265 N MILFORD RD, MILFORD FAMILY PRACTICE
MILFORD, MI 48381
Oakland County (248) 685-3600
MS. MEGHAN PENN PA-C
Physician Assistant (Medical)
1265 N MILFORD RD
MILFORD, MI 48381
Oakland County (248) 685-3600
KELSEY SKELTON P.A.-C
Physician Assistant (Medical)
1265 N MILFORD RD
MILFORD, MI 48381
Oakland County (248) 685-3600
DR. JOHN ANDREW ROSELLA DO
Family Medicine
1265 N MILFORD RD, MILFORD FAMILY PRACTICE
MILFORD, MI 48381
Oakland County (248) 685-3600

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 Dennis Rafaill's NPI number?

The NPI number for Dennis Rafaill is 1326013533. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Dennis Rafaill located?

Dennis Rafaill practices at 1265 N Milford Rd Milford Family Practice, Milford, MI 48381. The listed phone number is (248) 685-3600.

What is Dennis Rafaill's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dennis Rafaill enrolled in Medicare?

Yes. Dennis Rafaill 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 Dennis Rafaill accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Dennis Rafaill 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 Dennis Rafaill affiliated with any hospitals?

According to CMS data, Dennis Rafaill is affiliated with Huron Valley-Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Dennis Rafaill was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.