Rafael Amaral, M.D.
NPI 1295719060 · Gastroenterology Physician · Darby, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Amaral, M.D. is a Gastroenterology Physician provider in Darby, PA (NPI 1295719060).
Provider details
- NPI number
- 1295719060
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD044931E (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
821 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 196 | $131 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 191 | $79 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 88 | $132 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 73 | $253 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 60 | $89 |
| Biopsy of Large Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 256 | 80 |
| Linaclotidebrand: Linzess | 91 | 34 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 78 | 75 |
| Pantoprazole Sodium | 76 | 32 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 50 | 47 |
| Famotidine | 44 | 20 |
| Sucralfate | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,222 across 103 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
- 2005-12-05
- Last updated
- 2021-05-20
- Certified
- 2021-05-20
Frequently asked questions
- What is Rafael Amaral's NPI number?
- Rafael Amaral's National Provider Identifier (NPI) is 1295719060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Amaral's specialty?
- Rafael Amaral is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Amaral located?
- Rafael Amaral's practice location on file with NPPES is 1501 Lansdowne Ave, Darby, PA 19023-1333.
- What is Rafael Amaral's phone number?
- The practice phone number listed in the NPPES registry for Rafael Amaral is (610) 534-6270.
- Does Rafael Amaral accept Medicare?
- Rafael Amaral is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Amaral's NPI active?
- Yes — Rafael Amaral's NPI (1295719060) is active in the NPPES registry as of the last update on 2021-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.