Paul Raphaelian, MD
NPI 1164450201 · Retina Specialist (Ophthalmology) Physician · Norton Shores, MI
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Raphaelian, MD is a Retina Specialist (Ophthalmology) Physician provider in Norton Shores, MI (NPI 1164450201).
Provider details
- NPI number
- 1164450201
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301066043 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,113 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Imaging of Retina92134 | 1,093 | $39 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,076 | $128 |
| Injection of Drug Into Eye67028 | 759 | $125 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 57 | $165 |
| Extended Exam of the Back Part of the Eye With Optic Nerve Drawing92202 | 39 | $15 |
| Photography of the Retina92250 | 32 | $36 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 141 | 73 |
| Latanoprost | 124 | 27 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 106 | 38 |
| Timolol Maleate | 57 | 17 |
| Ketorolac Tromethamine | 45 | 18 |
| Brimonidine Tartrate | 14 | — |
| Atropine Sulfate | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Frequently asked questions
- What is Paul Raphaelian's NPI number?
- Paul Raphaelian's National Provider Identifier (NPI) is 1164450201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Raphaelian's specialty?
- Paul Raphaelian is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Raphaelian located?
- Paul Raphaelian's practice location on file with NPPES is 5957 Harvey St, Norton Shores, MI 49444-9737.
- What is Paul Raphaelian's phone number?
- The practice phone number listed in the NPPES registry for Paul Raphaelian is (231) 733-7832.
- Does Paul Raphaelian accept Medicare?
- Paul Raphaelian is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Raphaelian's NPI active?
- Yes — Paul Raphaelian's NPI (1164450201) is active in the NPPES registry as of the last update on 2022-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.