DR. ELYSE S. RAFAL M.D.
NPI 1477515781
Dermatology in Stony Brook, NY

Active since April 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0976295 · Microscopy
2500 ROUTE 347, BUILDING 22A, STONY BROOK, NY 11790(631) 689-0300(631) 689-1153 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Elyse S. Rafal M.d. NPPES

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

DR. ELYSE S. RAFAL M.D. (NPI 1477515781) is an individual dermatology provider in Stony Brook, New York, licensed in New York (1915433-1) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through July 30, 2026, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1477515781
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ELYSE S. RAFALCredential: M.D.
Location Address2500 ROUTE 347, BUILDING 22AStony Brook, NY 11790-2555
Mailing Address2500 Route 347, Building 22aStony Brook, NY 11790-2555 · (631) 689-0300 · Fax (631) 689-1153
Fax(631) 689-1153
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateApril 3, 2006
Last NPPES UpdateJune 9, 2008
NPI 1477515781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 1915433-1
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2500 ROUTE 347, Stony Brook, NY 11790

Other Identifiers 2

Medicare UPINF50959NY
Medicare PIN13U101NY

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. Elyse S. Rafal 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 ID2062447543
PECOS Enrollment IDI20051004000346
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0976295

Elyse S Rafal MD PC · Stony Brook, NY
Active · expires Jul 30, 2026
CLIA Number33D0976295
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorElyse S. Rafal
Laboratory Phone(631) 689-0300
Laboratory LocationElyse S Rafal MD PC2500-22 Route 347 Suite 82, Stony Brook, NY 11790
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
512 services156 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
167 services87 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
113 services15 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
110 services40 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Injection into skin growth, 1-7 growths 11900
This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
74 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%29 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%33 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%31 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Nephrology)
2500 ROUTE 347, BLDG 14A
STONY BROOK, NY 11790
Internal Medicine (Nephrology)
2500 ROUTE 347, BLDG 14A
STONY BROOK, NY 11790
Internal Medicine (Nephrology)
2500 ROUTE 347, BUILDING 14A
STONY BROOK, NY 11790
Physical Therapist
2500 ROUTE 347, SUITE 8D
STONY BROOK, NY 11790
Internal Medicine (Rheumatology)
2500 ROUTE 347, BLDG 8D
STONY BROOK, NY 11790
Dermatology
2500 ROUTE 347, BLDG 5A AMY WISHNER STEINBERG MD
STONY BROOK, NY 11790
Registered Nurse (Nurse Massage Therapist (NMT))
2500 ROUTE 347, SUITE 8D
STONY BROOK, NY 11790
Dermatology
2500 ROUTE 347, BUILDING 22A
STONY BROOK, NY 11790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477515781, enumerated as an "individual" on April 03, 2006.

The provider is located at 2500 ROUTE 347 BUILDING 22A STONY BROOK, NY 11790 and the phone number is (631) 689-0300.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.