James Raphael, MD
NPI 1093783581 · Orthopaedic Surgery Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Raphael, MD is a Orthopaedic Surgery Physician provider in Philadelphia, PA (NPI 1093783581).
Provider details
- NPI number
- 1093783581
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD049979L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
293 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $96 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 39 | $120 |
| Injection Into Tendon Or Ligament20550 | 37 | $57 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 26 | $61 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 21 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$244 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2012-12-19
Frequently asked questions
- What is James Raphael's NPI number?
- James Raphael's National Provider Identifier (NPI) is 1093783581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Raphael's specialty?
- James Raphael is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Raphael located?
- James Raphael's practice location on file with NPPES is 5501 Old York Rd, Philadelphia, PA 19141-3018.
- What is James Raphael's phone number?
- The practice phone number listed in the NPPES registry for James Raphael is (215) 456-7900.
- Does James Raphael accept Medicare?
- James Raphael is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Raphael's NPI active?
- Yes — James Raphael's NPI (1093783581) is active in the NPPES registry as of the last update on 2012-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.