Kara Raphael, M.D.
NPI 1578982542 · Internal Medicine Physician · New Hyde Park, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kara Raphael, M.D. is a Internal Medicine Physician provider in New Hyde Park, NY (NPI 1578982542).
Provider details
- NPI number
- 1578982542
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 7053 (GA)
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 tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
342 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 80 | $134 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 59 | $195 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 49 | $148 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 37 | $31 |
| Ultrasound Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43259 | 31 | $228 |
| Ultrasound Guided Needle Aspiration Or Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Linaclotidebrand: Linzess | 23 |
| Pantoprazole Sodium | 21 |
| Omeprazole | 19 |
| Dicyclomine Hcl | 12 |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$544 across 7 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
Additional practice locations (1)
- 300 Community DrManhasset, NY 11030-3816Phone: (516) 387-3990
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Frequently asked questions
- What is Kara Raphael's NPI number?
- Kara Raphael's National Provider Identifier (NPI) is 1578982542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kara Raphael's specialty?
- Kara Raphael is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kara Raphael located?
- Kara Raphael's practice location on file with NPPES is 27005 76th Ave, New Hyde Park, NY 11040-1402.
- What is Kara Raphael's phone number?
- The practice phone number listed in the NPPES registry for Kara Raphael is (516) 387-3990.
- Does Kara Raphael accept Medicare?
- Kara Raphael is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kara Raphael's NPI active?
- Yes — Kara Raphael's NPI (1578982542) is active in the NPPES registry as of the last update on 2020-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.