Deactivated NPI 1396747432 Deactivated / Inactive NPI Male Practitioner

Dr. Gary E Raffel , DO

Internal Medicine • Lewes, DE

✓ Accepts Medicare Assignment Telehealth Available

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Raffel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2005

NPI Deactivation Date April 05, 2006

Total Practice Duration ~15 Years of Practice (1991 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Raffel, DO was a registered Internal Medicine in Lewes, DE. Prior to record deactivation on 2006-04-05, Dr. Raffel completed approximately 15 years of clinical practice following graduation from West Virginia School Of Osteopathic Medicine in 1991.

Dr. Raffel accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included established patient outpatient office visit, outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

16529 Coastal Hwy

Lewes, DE 199583696

Telephone 3026842000

Fax 3026446860

Associated Practice Facility / Clinic

🏢 Coastal Therapeutic Services, Llc Facility NPI 1679630164

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lewes, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +11.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

44 Specialists

Practicing in Lewes, DE (625 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raffel (35 Years) 35 Yrs

Lewes Specialty Average (24.0 Years) 24.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	155	81	$135.00	$89.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	99	$170.00	$125.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	69	$100.00	$55.54
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	83	57	$50.00	$22.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$225.00	$164.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$225.00	$177.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	122	$135.00	$89.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	97	$170.00	$126.99
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	17	16	$165.00	$126.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$225.00	$178.04
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	11	11	$225.00	$185.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	161	$135.00	$92.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	58	$170.00	$129.55
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	23	21	$165.00	$127.06
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	11	11	$225.00	$175.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	456	204	$135.00	$93.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$170.00	$132.48
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$160.00	$74.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	576	208	$135.00	$74.04
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$160.00	$76.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$170.00	$106.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$100.00	$41.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$104.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	401	164	$135.00	$75.57
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	202	176	$250.00	$91.59
99315 Nursing facility discharge day management, 30 minutes or less	134	125	$170.00	$74.71
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$160.00	$77.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$170.00	$110.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$200.00	$110.82
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$25.00	$17.39
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	12	$150.00	$44.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	290	240	$250.00	$89.75
99315 Nursing facility discharge day management, 30 minutes or less	190	169	$170.00	$71.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	86	$163.04	$106.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	116	74	$150.00	$43.97
99213 Established patient office or other outpatient visit, typically 15 minutes	75	48	$126.33	$72.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$225.00	$163.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$200.00	$107.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,381	971	$133.00	$109.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$150.00	$117.72
99213 Established patient office or other outpatient visit, typically 15 minutes	153	140	$90.00	$74.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$204.00	$167.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	88	$180.00	$147.46
G0008 Administration of influenza virus vaccine	103	102	$30.00	$25.89
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	73	73	$21.21	$17.34
99496 Transitional care management services for problem of high complexity	69	62	$285.47	$231.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	40	$9.69	$1.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	62	62	$212.00	$172.41
93000 Routine ekg using at least 12 leads including interpretation and report	53	52	$30.85	$17.40
20610 Aspiration and/or injection of fluid from large joint	48	41	$78.25	$62.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	23	$25.00	$24.67
99495 Transitional care management services for problem of at least moderate complexity	39	34	$203.40	$166.10
94640 Inhalation treatment for airway obstruction or sputum production	34	30	$26.91	$18.94
90653 Vaccine for influenza for injection into muscle	29	29	$60.00	$49.22
69210 Removal of impacted ear wax	25	24	$67.00	$50.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$207.00	$167.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C2-0011017

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Malina Blankenship , FNP-C

Nurse Practitioner - Family

NPI 1558241810

Family Nurse Practitioner (Certified)

Jennifer Shade , NP-C

Nurse Practitioner

NPI 1730577388

Nurse Practitioner (Certified)

Rachel Hornock , PA-C

Physician Assistant - Medical

NPI 1780564179

Physician Assistant (Certified)

Dr. Jennifer Hurd , MD

Internal Medicine

NPI 1932333465

Doctor of Medicine (M.D.)

Dr. Charles Wagner , MD

Family Medicine

NPI 1992792717

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location September 19, 2017

Registered at 16529 COASTAL HWY, LEWES, DE 199583696 (Tel: (302) 684-2000)

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Updated Business Mailing Address September 19, 2017

Registered at 16529 COASTAL HWY, LEWES, DE 199583696 (Tel: (302) 684-2000)

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Provider Name / Credentials Updated September 19, 2017

Recorded as GARY RAFFEL, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2017

Internal Medicine (License #C2-0011017 in DE)

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Updated Practice Location July 20, 2010

Registered at 5413 W CEDAR LN, SUITE 203 C, BETHESDA, MD 20814 (Tel: 3015304383)

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Updated Business Mailing Address July 20, 2010

Registered at 5413 W CEDAR LN, SUITE 203 C, BETHESDA, MD 20814 (Tel: 3015304383)

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Provider Name / Credentials Updated July 20, 2010

Recorded as GARY RAFFEL, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2010

Internal Medicine (License #H45839 in MD)

🔄

NPI Profile Reactivated April 10, 2006

Record officially reactivated for active practice on April 10, 2006

⚠️

NPI Profile Deactivated April 05, 2006

Record deactivated on April 05, 2006

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Initial NPI Registration & Enumeration June 01, 2005

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: 1396747432

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: July 21, 2022

Deactivation Date: April 05, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16529 Coastal Hwy

Lewes, DE 199583696

Phone: 3026842000

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.