WILLIAM RAFELSON M.D.
NPI 1992142046
Internal Medicine - Hematology & Oncology in Morristown, NJ

Q: What is William Rafelson's NPI number?

The NPI number for William Rafelson is 1992142046. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is William Rafelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for William Rafelson was last updated on October 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 30, 2013PECOS EnrolledAccepts Medicare Assignment

89.61/100

CMS Quality Rating

100 MADISON AVE, MORRISTOWN, NJ 07960(973) 971-7960(973) 898-1640 Get Directions Write a Review

NPPES record last updated: October 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2023, Jan 27, 2020, Feb 23, 2016 (3 updates tracked since 2016).

On this page

About William Rafelson M.d. NPPES

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

WILLIAM RAFELSON M.D. (NPI 1992142046) is an individual hematology & oncology provider in Morristown, New Jersey, licensed in New Jersey (25MA10781500) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992142046

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameWILLIAM RAFELSONCredential: M.D.

Location Address100 MADISON AVEMorristown, NJ 07960-6136

Mailing Address100 Madison Ave # 312Morristown, NJ 07960-6136 · (973) 961-7960 · Fax (973) 898-1640

Phone(973) 971-7960

Fax(973) 898-1640

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMay 30, 2013

Last NPPES UpdateOctober 29, 20233 updates tracked since enumeration

NPPES CertifiedOctober 29, 2023

✔ NPI 1992142046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NJ · 25MA10781500

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

100 MADISON AVE, Morristown, NJ 07960

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

William Rafelson 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 ID5395962146

PECOS Enrollment IDI20200813002136

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 10

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

114 services42 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

93 services32 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.

85 services43 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.

79 services48 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

78 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310115

Location651 Willow Grove StHackettstown, NJ 07840 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 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

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

89.61/100

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

Scored as part of a group practice

Quality

81.89

Improvement Activities

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.

MELISSA LOPES M.D

Anesthesiology