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DR. MICHAEL RAFATI MD
NPI 1467512848
Internal Medicine in Carbondale, IL

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
3114 W SUNSET DR, CARBONDALE, IL 62901(618) 549-8935 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Rafati Md NPPES

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

DR. MICHAEL RAFATI MD (NPI 1467512848) is an individual internal medicine provider in Carbondale, Illinois, licensed in Illinois (036-087927) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Tmc- Bonham Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1467512848
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL RAFATICredential: MD
Location Address3114 W SUNSET DRCarbondale, IL 62901-1951
Mailing Address3114 W Sunset DrCarbondale, IL 62901-1951 · (618) 549-8935
Phone(618) 549-8935
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 8, 2006
Last NPPES UpdateMay 17, 2010
✔ NPI 1467512848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036-087927✔ Licensed in CA · A-63955✔ Licensed in AZ · 35678✔ Licensed in FL · ME-94403✔ Licensed in LA · 12031-R✔ Licensed in RI · MD-08480✔ Licensed in MD · D-45408✔ Licensed in HI · MD-8672✔ Licensed in NM · MD 2006-0539
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 ListedEmergency MedicineTaxonomy 207P00000X · License 036087927 (IL)
3114 W SUNSET DR, Carbondale, IL 62901
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Other Identifiers 3

Medicaid64127418KY
Medicare PINIL1943013IL
Medicaid036087927-4IL

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 Rafati 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 ID9638133259
PECOS Enrollment IDI20220111001714
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
93 services83 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
76 services71 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451370
Location504 Lipscomb StreetBonham, TX 75418 · Fannin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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 Rafati's NPI number?

The NPI number for Michael Rafati is 1467512848. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Michael Rafati located?

Michael Rafati practices at 3114 W Sunset Dr, Carbondale, IL 62901. The listed phone number is (618) 549-8935.

What is Michael Rafati's specialty?

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

Is Michael Rafati enrolled in Medicare?

Yes. Michael Rafati 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.

Is Michael Rafati affiliated with any hospitals?

According to CMS data, Michael Rafati is affiliated with Tmc- Bonham Hospital.

When was this NPI record last updated?

The NPPES record for Michael Rafati was last updated on May 17, 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.