IRENE RAPHAEL
NPI 1659852374
Nurse Practitioner - Adult Health in Commack, NY

Active since August 22, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
66 COMMACK RD STE 20018, COMMACK, NY 11725(631) 858-2190 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Irene Raphael NPPES

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

IRENE RAPHAEL (NPI 1659852374) is an individual adult health provider in Commack, New York, licensed in New York (308880) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659852374
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameIRENE RAPHAEL
Location Address66 COMMACK RD STE 20018Commack, NY 11725-3405
Mailing Address18 Bethal LnCommack, NY 11725-1004 · (631) 827-9841
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 22, 2018
✔ NPI 1659852374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 308880
66 COMMACK RD STE 20018, Commack, NY 11725

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Irene Raphael 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 ID4789916230
PECOS Enrollment IDI20191101001385
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Irene Raphael reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gynecologic Oncology
404 POTTER BLVD
Brightwaters, NY 11718
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Northwell Healthcare Inc
  • 211 clinicians in this Medicare group
Physician Assistant
888 OLD COUNTRY RD
Plainview, NY 11803
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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 Irene Raphael's NPI number?

The NPI number for Irene Raphael is 1659852374. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Irene Raphael located?

Irene Raphael practices at 66 Commack Rd Ste 20018, Commack, NY 11725. The listed phone number is (631) 858-2190.

What is Irene Raphael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Irene Raphael enrolled in Medicare?

Yes. Irene 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.

Which organizations bill Medicare for Irene Raphael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irene Raphael reassigns Medicare benefits to 3 organizations: North Shore Long Island Jewish Healthcare Inc. (Brightwaters, NY), Plainview Faculty Medical Affiliates, University Faculty Prac (Plainview, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irene Raphael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Irene Raphael was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.