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TAL R RAPHAELI MD
NPI 1609910009
Colon & Rectal Surgery in Houston, TX

Active since February 18, 2007PECOS EnrolledAccepts Medicare Assignment
1125 CYPRESS STATION DR STE G-3, HOUSTON, TX 77090(281) 583-1300(281) 583-1303 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tal R Raphaeli Md NPPES

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

TAL R RAPHAELI MD (NPI 1609910009) is an individual colon & rectal surgery provider in Houston, Texas, licensed in Texas (P1919) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and is a graduate of University Of Texas Medical School At San Antonio (2006).

NPPES Registry Identity

NPI1609910009
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameTAL R RAPHAELICredential: MD
Location Address1125 CYPRESS STATION DR STE G-3Houston, TX 77090-3055
Mailing Address1125 Cypress Station Dr Ste G-3Houston, TX 77090-3055 · (281) 583-1300
Phone(281) 583-1300
Fax(281) 583-1303
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2006
Enumeration DateFebruary 18, 2007
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1609910009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · P1919
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1125 CYPRESS STATION DR STE G-3, Houston, TX 77090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Tal R Raphaeli 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 ID6800061961
PECOS Enrollment IDI20120816000912
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 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.

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.
66 services44 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.
55 services31 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.
51 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services21 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%20 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%23 patients
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 2

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

NORTHWEST COLON & RECTAL SURGERY, P.A.
Colon & Rectal Surgery
1125 CYPRESS STATION DR STE G-3
HOUSTON, TX 77090
Harris County (281) 583-1300
DR. JEAN A. KNAPPS M.D.
Colon & Rectal Surgery
1125 CYPRESS STATION DR STE G-3
HOUSTON, TX 77090
Harris County (815) 831-3002

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 Tal Raphaeli's NPI number?

The NPI number for Tal Raphaeli is 1609910009. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Tal Raphaeli located?

Tal Raphaeli practices at 1125 Cypress Station Dr Ste G-3, Houston, TX 77090. The listed phone number is (281) 583-1300.

What is Tal Raphaeli's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Tal Raphaeli enrolled in Medicare?

Yes. Tal Raphaeli 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 Tal Raphaeli accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Tal Raphaeli 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 Tal Raphaeli affiliated with any hospitals?

According to CMS data, Tal Raphaeli is affiliated with Hca Houston Healthcare Northwest, Memorial Hermann Northeast Hospital, Houston Methodist Willowbrook Hospital, St Luke's Hospital At The Vintage and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Tal Raphaeli was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.