Shiri Raphaely, MD
NPI 1548757925 · Child & Adolescent Psychiatry Physician · Madison, WI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shiri Raphaely, MD is a Child & Adolescent Psychiatry Physician provider in Madison, WI (NPI 1548757925).
Provider details
- NPI number
- 1548757925
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 72185 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
18 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 18 | $110 |
Typical Medicare-allowed amounts for these services range $110–$110 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Risperidone | 28 |
| Fluoxetine Hcl | 14 |
| Gabapentin | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude 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 no Part D record, 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
Additional practice locations (1)
- 815 Forward DrMadison, WI 53711-2443Phone: (608) 320-3232
Registry dates
- Enumerated
- 2018-04-20
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Shiri Raphaely's NPI number?
- Shiri Raphaely's National Provider Identifier (NPI) is 1548757925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shiri Raphaely's specialty?
- Shiri Raphaely is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Shiri Raphaely located?
- Shiri Raphaely's practice location on file with NPPES is 6001 Research Park Blvd, Madison, WI 53719-1176.
- What is Shiri Raphaely's phone number?
- The practice phone number listed in the NPPES registry for Shiri Raphaely is (608) 232-3171.
- Does Shiri Raphaely accept Medicare?
- Shiri Raphaely is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shiri Raphaely's NPI active?
- Yes — Shiri Raphaely's NPI (1548757925) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.