Active NPI 1366892291 Individual Practitioner Male Practitioner

Dr. Joseph Raphael Ablaza , MD

Internal Medicine • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Raphael Ablaza, MD is a certified Internal Medicine practicing in Dover, DE. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Ablaza delivers high-quality medical care to the local community at 640 S STATE ST.

Dr. Ablaza is affiliated with Apogee Medical Group Delaware Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 S State St

Dover, DE 199013530

Telephone 3027447581

Fax 3027447332

Associated Practice Facility / Clinic

🏢 Bayhealth Medical Center / Kent General Hospital Facility NPI 1962495838

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -12.9 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

47 Specialists

Practicing in Dover, DE (625 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

5.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ablaza (11 Years) 11 Yrs

Dover Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	352	339	$133.08	$126.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	110	$174.46	$166.23
99282 Emergency department visit with straightforward medical decision making	27	25	$45.87	$40.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	232	227	$135.26	$129.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	175	171	$218.53	$172.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	25	$79.57	$79.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	23	$132.18	$119.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	15	$50.08	$49.12
99239 Hospital discharge day management, more than 30 minutes	25	24	$119.89	$114.71
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$89.21	$83.13
99282 Emergency department visit with straightforward medical decision making	22	22	$44.07	$41.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	236	234	$203.72	$199.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	154	73	$103.51	$104.20
99220 Hospital observation care, typically 70 minutes	94	94	$230.98	$179.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	41	$72.05	$72.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	24	$38.80	$39.29
99239 Hospital discharge day management, more than 30 minutes	46	45	$106.64	$107.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$135.38	$135.35
99225 Subsequent observation care, typically 25 minutes per day	22	11	$71.71	$72.20
99281 Emergency department visit for problem that may not require health care professional	21	21	$22.21	$22.24
99219 Hospital observation care, typically 50 minutes	20	20	$133.10	$132.92
99218 Hospital observation care typically 30 minutes	19	19	$114.36	$98.28
99217 Hospital observation care on day of discharge	12	12	$72.56	$73.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	366	356	$208.17	$200.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	69	$105.12	$103.35
99220 Hospital observation care, typically 70 minutes	109	108	$186.69	$182.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	40	$72.55	$72.31
99219 Hospital observation care, typically 50 minutes	48	48	$138.96	$135.09
99281 Emergency department visit for problem that may not require health care professional	39	39	$22.71	$22.37
99239 Hospital discharge day management, more than 30 minutes	32	32	$110.56	$107.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	15	$38.74	$38.61
99218 Hospital observation care typically 30 minutes	25	25	$102.06	$98.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$141.70	$136.83
99225 Subsequent observation care, typically 25 minutes per day	21	14	$72.78	$72.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	97	$212.54	$208.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	15	$114.26	$107.26
99219 Hospital observation care, typically 50 minutes	44	43	$139.73	$139.73
99218 Hospital observation care typically 30 minutes	43	42	$107.67	$100.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	14	$44.17	$40.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$148.39	$141.94
99220 Hospital observation care, typically 70 minutes	22	22	$190.44	$190.44
99238 Hospital discharge day management, 30 minutes or less	21	21	$78.80	$75.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$86.17	$74.42

Medical Specialties & State Licenses

CMS Verified: 2022-06-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C1-0013518

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Apogee Medical Group Delaware Inc

640 S State St, Dover, DE 199013530

Phone: 3026744700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Jonathan Kaufmann , DO

Internal Medicine

NPI 1104953843

Doctor of Osteopathic Medicine (D.O.)

Dr. Muhammad Haneef Khawaja , MD

Internal Medicine

NPI 1295117042

Doctor of Medicine (M.D.)

Dr. Matthew Massaro , DO

Hospitalist

NPI 1710069943

Doctor of Osteopathic Medicine (D.O.)

Dr. Modupe Oluya , MD

Internal Medicine

NPI 1811492937

Doctor of Medicine (M.D.)

Rhea D'souza

Family Medicine

NPI 1861914277

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 01, 2022

Registered at 640 S STATE ST, DOVER, DE 199013530 (Tel: 3027447581)

📍

Updated Business Mailing Address July 01, 2022

Registered at 640 S. STATE STREET, MAIL CODE 1109, DOVER, DE 199013530 (Tel: 3027447581)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2022

Internal Medicine (License #C1-0013518 in DE)

✅

NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2016

Registered at 25 MICHIGAN ST NE, SUITE 2100, GRAND RAPIDS, MI 495032515 (Tel: 6163913777)

📍

Updated Business Mailing Address June 22, 2016

Registered at 25 MICHIGAN ST NE, SUITE 2100, GRAND RAPIDS, MI 495032515 (Tel: 6163913777)

👤

Provider Name / Credentials Updated June 22, 2016

Recorded as JOSEPH RAPHAEL ABLAZA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Internal Medicine (License #4301110389 in MI)

🟢

Initial NPI Registration & Enumeration June 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366892291

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2016

Last Update: July 01, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

640 S. State Street, Mail Code 1109

Dover, DE 199013530

Phone: 3027447581

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.