DR. GARY E RAFFEL D.O.
NPI 1396747432
Internal Medicine in Lewes, DE
About Dr. Gary E Raffel D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY E RAFFEL D.O. (NPI 1396747432) is an individual internal medicine provider in Lewes, Delaware, licensed in Delaware (C2-0011017) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
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.
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. Gary E Raffel D.o. 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19958 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWES, DE 19958
LEWES, DE 19958
LEWES, DE 19958
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 Gary Raffel's NPI number?
The NPI number for Gary Raffel is 1396747432. It was assigned to this individual provider in the NPPES registry on June 1, 2005.
Where is Gary Raffel located?
Gary Raffel practices at 16529 Coastal Hwy, Lewes, DE 19958. The listed phone number is (302) 684-2000.
What is Gary Raffel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gary Raffel enrolled in Medicare?
Yes. Gary Raffel 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 Gary Raffel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Gary Raffel 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 Gary Raffel was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
