DR. MICHAEL ROCK RAPHAEL D.O.
NPI 1518170406
Internal Medicine - Gastroenterology in Farmington Hills, MI

Q: What is Michael Raphael's NPI number?

The NPI number for Michael Raphael is 1518170406. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Michael Raphael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Raphael was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment

87.28/100

CMS Quality Rating

30055 NORTHWESTERN HWY, SUITE 250, FARMINGTON HILLS, MI 48334(248) 985-5000(248) 985-5500 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 7, 2020, Aug 12, 2016 (2 updates tracked since 2016).

On this page

About Dr. Michael Rock Raphael D.o. NPPES

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

DR. MICHAEL ROCK RAPHAEL D.O. (NPI 1518170406) is an individual gastroenterology provider in Farmington Hills, Michigan, licensed in Michigan (5101016523) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2005).

NPPES Registry Identity

NPI1518170406

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MICHAEL ROCK RAPHAELCredential: D.O.

Location Address30055 NORTHWESTERN HWY, SUITE 250Farmington Hills, MI 48334-3230

Mailing Address30055 Northwestern Hwy, Suite 250Farmington Hills, MI 48334-3230 · (248) 985-5000 · Fax (248) 985-5500

Phone(248) 985-5000

Fax(248) 985-5500

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2005

Enumeration DateMay 7, 2007

Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1518170406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MI · 5101016523

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

30055 NORTHWESTERN HWY, Farmington Hills, MI 48334

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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. Michael Rock Raphael 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.

PECOS PAC ID7517144801

PECOS Enrollment IDI20110614000721

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 13

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 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.

119 services96 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

103 services98 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

94 services93 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

76 services56 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

69 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

61 services61 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.

51 services44 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

43 services43 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.

33 services33 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

13 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230070

Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County

Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230222

Location4000 Wellness DriveMidland, MI 48670 · Midland County

Birthing friendly

Scheurer Hospital

Critical Access Hospitals · Pigeon, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231310

Location170 N Caseville RdPigeon, MI 48755 · Huron County

Emergency services

Hills & Dales General Hospital

Critical Access Hospitals · Cass City, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231316

Location4675 Hill StreetCass City, MI 48726 · Tuscola County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48334 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.

87.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

57.62

Other Providers at the Same Location NPPES 20

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

DR. ROBERTO MAURO GAMARRA M.D.

Internal Medicine (Gastroenterology)

30055 NORTHWESTERN HWY, SUITE 250
FARMINGTON HILLS, MI 48334

Oakland County (248) 985-5000

DR. MEGHAN ANNE GRIFFIN D.O.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

30055 NORTHWESTERN HWY, SUITE 235
FARMINGTON HILLS, MI 48334

Oakland County (248) 737-4600

EUGENE K HERMAN MD. PLC

Internal Medicine

30055 NORTHWESTERN HWY, STE. 160
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-4160

PAULETTE G MCDONALD M.A., CCC-A

Audiologist-Hearing Aid Fitter

30055 NORTHWESTERN HWY, SUITE 101
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-4444

MS. CATHY FAYE GRECH NURSE PRACTITIONER

Nurse Practitioner (Acute Care)

30055 NORTHWESTERN HWY, SUITE 220
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-9898

MRS. SONIA LOUSIA QATSHA PA-C

Physician Assistant

30055 NORTHWESTERN HWY, SUITE #250
FARMINGTON HILLS, MI 48334

Oakland County (248) 985-5000

NORTHWESTERN SERVICES, LLC

Anesthesiology

30055 NORTHWESTERN HWY, SUITE L60
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-6555

ERIC LERMAN, MD PLC

Internal Medicine

30055 NORTHWESTERN HWY, SUITE 160
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-4160

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 Raphael's NPI number?

The NPI number for Michael Raphael is 1518170406. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Michael Raphael located?

Michael Raphael practices at 30055 Northwestern Hwy Suite 250, Farmington Hills, MI 48334. The listed phone number is (248) 985-5000.

What is Michael Raphael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Raphael enrolled in Medicare?

Yes. Michael Raphael 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 Michael Raphael accept?

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

According to CMS data, Michael Raphael is affiliated with Covenant Medical Center, Mymichigan Medical Center Midland, Scheurer Hospital and Hills & Dales General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Raphael was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.