DR. EFTHEMIOS RAPHTIS M.D.
NPI 1356379259
Ophthalmology in Rochester, MI

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
91.43/100
CMS Quality Rating
432 W. UNIVERSITY DR., ROCHESTER, MI 48307(248) 651-6122 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Efthemios Raphtis M.d. NPPES

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

DR. EFTHEMIOS RAPHTIS M.D. (NPI 1356379259) is an individual ophthalmology provider in Rochester, Michigan, licensed in Michigan (4301062940) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1990).

NPPES Registry Identity

NPI1356379259
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. EFTHEMIOS RAPHTISCredential: M.D.
Location Address432 W. UNIVERSITY DR.Rochester, MI 48307
Mailing Address432 W. University Dr.Rochester, MI 48307 · (248) 651-6122
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1990
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 5, 2012
NPI 1356379259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301062940
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

432 W. UNIVERSITY DR., Rochester, MI 48307

Other Names 1

Professional Name (2)Dr. Mike Raphtis M.d.

Other Identifiers 7

OtherF79689Hap
Medicare ID-Type UnspecifiedF36287004
Medicare UPINF79689
Other180F362870MI · Bcbs Of Michigan
Other103160Care Choices Hmo
Other180020279Medicare Railroad
Medicaid3178030MI

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. Efthemios Raphtis M.d. 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 ID4486668381
PECOS Enrollment IDI20120523000681
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 17

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
817 services762 patients
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.
264 services215 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
245 services152 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
207 services202 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
201 services195 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
195 services168 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

91.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.38
Promoting Interoperability100
Improvement Activities40
Cost75.04

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers17 claims17 services$61.35 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 5

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

Optometrist
432 W. UNIVERSITY DR.
ROCHESTER, MI 48307
Clinic/Center (Ophthalmologic Surgery)
432 W. UNIVERSITY DR.
ROCHESTER, MI 48307
Optometrist
432 W. UNIVERSITY DR.
ROCHESTER, MI 48307
Eyewear Supplier
432 W. UNIVERSITY DR.
ROCHESTER, MI 48307
Optometrist
432 W. UNIVERSITY DR.
ROCHESTER, MI 48307

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 Efthemios Raphtis's NPI number?

The NPI number for Efthemios Raphtis is 1356379259. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Dr. Mike Raphtis M.D..

Where is Efthemios Raphtis located?

Efthemios Raphtis practices at 432 W. University Dr., Rochester, MI 48307. The listed phone number is (248) 651-6122.

What is Efthemios Raphtis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Efthemios Raphtis enrolled in Medicare?

Yes. Efthemios Raphtis 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 Efthemios Raphtis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Efthemios Raphtis 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.

When was this NPI record last updated?

The NPPES record for Efthemios Raphtis was last updated on July 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.