Active NPI 1356379259 Individual Practitioner Male Practitioner

Dr. Efthemios Raphtis , MD

Ophthalmology • Rochester, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Efthemios Raphtis, MD is a certified Ophthalmology practicing in Rochester, MI. With approximately 36 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1990, Dr. Raphtis delivers high-quality medical care to the local community at 432 W. UNIVERSITY DR..

Dr. Raphtis is affiliated with Mei Operations, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

432 W. University Dr.

Rochester, MI 48307

Telephone 2486516122

Associated Practice Facility / Clinic

🏢 Raphtis Optical Inc. Facility NPI 1750318648

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Rochester, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +20.0 yrs vs City Avg

City Avg: 16.0 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Rochester, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raphtis (36 Years) 36 Yrs

Rochester Specialty Average (16.0 Years) 16.0 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
92014 Established patient complete exam of visual system	817	762	$175.00	$128.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	215	$180.00	$134.90
66984 Removal of cataract with insertion of lens	245	152	$1045.71	$531.01
92133 Imaging of optic nerve	207	202	$80.00	$37.29
92083 Exam of visual field with extended testing	201	195	$135.00	$64.81
92012 Established patient problem focused exam of visual system	195	168	$125.00	$91.56
92136 Measurement of corneal curvature and depth of eye	189	187	$165.00	$48.46
92004 New patient complete exam of visual system	158	158	$208.00	$153.32
99213 Established patient office or other outpatient visit, typically 15 minutes	143	119	$125.00	$95.26
92136 Measurement of corneal curvature and depth of eye	111	111	$165.00	$30.91
92134 Imaging of retina	102	97	$80.00	$40.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$235.00	$176.01
66821 Removal of recurring cataract in lens capsule using a laser	84	66	$590.95	$308.44
66982 Complex removal of cataract with insertion of prosthetic lens	33	23	$1352.12	$741.79
83861 Microfluid analysis of tears	24	12	$50.00	$22.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$155.00	$118.42
92250 Photography of the retina	13	13	$138.00	$38.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	898	818	$175.00	$124.99
92012 Established patient problem focused exam of visual system	335	247	$125.00	$89.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	199	$179.71	$129.13
92083 Exam of visual field with extended testing	225	214	$135.00	$62.25
66984 Removal of cataract with insertion of lens	217	134	$1106.22	$516.65
92133 Imaging of optic nerve	172	169	$80.00	$36.15
92136 Measurement of corneal curvature and depth of eye	161	159	$165.00	$46.98
83861 Microfluid analysis of tears	134	66	$50.00	$22.03
66821 Removal of recurring cataract in lens capsule using a laser	124	100	$601.90	$300.43
92004 New patient complete exam of visual system	123	123	$208.00	$148.85
92136 Measurement of corneal curvature and depth of eye	108	108	$165.00	$29.58
92134 Imaging of retina	94	89	$80.00	$39.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$235.00	$169.64
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$125.00	$91.51
66982 Complex removal of cataract with insertion of prosthetic lens	43	27	$1429.07	$727.09
67800 Removal of eyelid growth	13	12	$217.00	$129.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	822	763	$170.41	$128.91
83861 Microfluid analysis of tears	786	363	$50.00	$22.01
92012 Established patient problem focused exam of visual system	432	323	$119.62	$90.56
66984 Removal of cataract with insertion of lens	248	157	$1132.06	$529.50
92136 Measurement of corneal curvature and depth of eye	218	211	$165.00	$48.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	183	$170.35	$131.19
92133 Imaging of optic nerve	192	192	$80.00	$37.49
92083 Exam of visual field with extended testing	171	170	$135.00	$64.15
99213 Established patient office or other outpatient visit, typically 15 minutes	138	123	$120.00	$93.72
92004 New patient complete exam of visual system	124	124	$208.00	$153.20
92134 Imaging of retina	120	105	$80.00	$40.40
66821 Removal of recurring cataract in lens capsule using a laser	108	87	$607.22	$310.48
92136 Measurement of corneal curvature and depth of eye	88	88	$165.00	$30.17
66982 Complex removal of cataract with insertion of prosthetic lens	77	55	$1381.17	$735.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$226.99	$168.95
92025 Ct scan of cornea	27	27	$75.00	$33.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$61.06	$59.15
92002 New patient problem focused exam of visual system	17	17	$120.00	$88.48
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$58.00	$28.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	947	908	$160.86	$130.39
92012 Established patient problem focused exam of visual system	450	359	$113.18	$92.49
92136 Measurement of corneal curvature and depth of eye	361	180	$113.45	$42.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	246	184	$60.00	$58.46
92083 Exam of visual field with extended testing	242	230	$133.99	$65.18
92133 Imaging of optic nerve	235	196	$71.62	$32.43
92004 New patient complete exam of visual system	193	192	$192.76	$154.77
66984 Removal of cataract with insertion of lens	178	120	$1276.40	$544.02
92134 Imaging of retina	101	74	$72.92	$36.31
66821 Removal of recurring cataract in lens capsule using a laser	98	89	$592.70	$312.60
99213 Established patient office or other outpatient visit, typically 15 minutes	89	76	$95.00	$95.50
66982 Complex removal of cataract with insertion of prosthetic lens	67	46	$1548.96	$767.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	64	$140.00	$135.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$218.00	$176.69
92250 Photography of the retina	27	27	$132.22	$39.12
92025 Ct scan of cornea	18	17	$73.89	$34.71
76514 Ultrasound scan of cornea to determine thickness	15	15	$38.00	$11.77
92020 Examination of cornea and iris using lens device and slit lamp	13	11	$59.08	$28.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	499	496	$135.28	$129.82
92136 Measurement of corneal curvature and depth of eye	353	118	$58.56	$32.16
92133 Imaging of optic nerve	241	121	$52.14	$19.05
92012 Established patient problem focused exam of visual system	199	182	$105.00	$90.94
66984 Removal of cataract with insertion of lens	196	129	$1500.00	$549.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	175	130	$55.00	$47.56
92083 Exam of visual field with extended testing	131	130	$130.00	$65.03
92004 New patient complete exam of visual system	130	130	$160.81	$153.28
66821 Removal of recurring cataract in lens capsule using a laser	91	76	$525.00	$316.81
92134 Imaging of retina	88	39	$50.51	$20.86
99213 Established patient office or other outpatient visit, typically 15 minutes	61	54	$85.00	$78.34
92250 Photography of the retina	51	51	$125.00	$43.74
66982 Complex removal of cataract with insertion of prosthetic lens	45	33	$1750.00	$767.17
76514 Ultrasound scan of cornea to determine thickness	13	13	$30.00	$11.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	617	617	$135.17	$128.52
92136 Measurement of corneal curvature and depth of eye	457	152	$58.26	$34.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	339	222	$55.00	$46.32
92133 Imaging of optic nerve	289	146	$52.08	$18.84
92012 Established patient problem focused exam of visual system	276	247	$105.00	$89.28
66984 Removal of cataract with insertion of lens	241	164	$1500.00	$635.73
92083 Exam of visual field with extended testing	198	191	$130.00	$64.63
92004 New patient complete exam of visual system	184	184	$160.76	$152.56
66821 Removal of recurring cataract in lens capsule using a laser	129	109	$533.14	$314.81
92134 Imaging of retina	105	49	$51.33	$20.85
99213 Established patient office or other outpatient visit, typically 15 minutes	70	60	$85.00	$76.40
66982 Complex removal of cataract with insertion of prosthetic lens	48	39	$1750.00	$776.37
68761 Closure of tear duct opening using plug	25	11	$300.00	$119.14
76514 Ultrasound scan of cornea to determine thickness	14	14	$30.00	$12.59
92250 Photography of the retina	13	13	$125.00	$49.23
92060 Exam to measure eye deviation and range of motion	12	12	$105.00	$65.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	537	536	$135.52	$132.05
92136 Measurement of corneal curvature and depth of eye	425	143	$58.71	$38.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	320	193	$55.00	$46.63
92012 Established patient problem focused exam of visual system	290	256	$105.00	$91.81
92133 Imaging of optic nerve	283	142	$53.06	$19.72
92004 New patient complete exam of visual system	229	229	$161.27	$156.84
66984 Removal of cataract with insertion of lens	197	138	$1500.00	$657.86
92083 Exam of visual field with extended testing	197	189	$130.00	$67.02
66821 Removal of recurring cataract in lens capsule using a laser	177	142	$525.00	$325.55
92134 Imaging of retina	105	48	$52.00	$21.86
66982 Complex removal of cataract with insertion of prosthetic lens	56	44	$1750.00	$838.59
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$85.00	$78.03
92250 Photography of the retina	18	18	$125.00	$57.96
76514 Ultrasound scan of cornea to determine thickness	17	17	$30.00	$15.88
67840 Removal of eyelid growth	14	14	$450.00	$295.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	629	629	$135.50	$123.10
92136 Measurement of corneal curvature and depth of eye	478	157	$58.16	$39.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	308	217	$55.00	$43.82
92133 Imaging of optic nerve	302	149	$52.50	$18.44
92012 Established patient problem focused exam of visual system	281	244	$105.00	$85.62
92004 New patient complete exam of visual system	250	250	$160.42	$147.94
66984 Removal of cataract with insertion of lens	242	170	$1500.00	$617.04
92083 Exam of visual field with extended testing	195	188	$130.00	$63.61
66821 Removal of recurring cataract in lens capsule using a laser	167	138	$525.00	$308.02
92134 Imaging of retina	136	60	$49.67	$20.31
66982 Complex removal of cataract with insertion of prosthetic lens	50	41	$1750.00	$784.66
68761 Closure of tear duct opening using plug	40	17	$315.00	$122.65
92250 Photography of the retina	35	35	$125.00	$65.24
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$85.00	$73.90
76514 Ultrasound scan of cornea to determine thickness	28	28	$30.00	$14.53
67840 Removal of eyelid growth	19	17	$450.00	$261.10

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301062940

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3178030 (MI)

Commercial Insurance / Payer ID Hap

F79689

Commercial Insurance / Payer ID Care Choices Hmo

103160

Commercial Insurance / Payer ID Medicare Railroad

180020279

Commercial Insurance / Payer ID Bcbs Of Michigan

180F362870 (MI)

Hospital & Practice Group Affiliations

Mei Operations, Pllc

432 W University Dr, Rochester, MI 483071938

Phone: 2486516122

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Jaime Aragones , MD

Ophthalmology

NPI 1023161569

Doctor of Medicine (M.D.)

Dr. Blas Mamaril , OD

Optometrist

NPI 1467489351

Doctor of Optometry

Dr. Bryan Johnson , OD

Optometrist

NPI 1922036813

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2012

Registered at 432 W. UNIVERSITY DR., ROCHESTER, MI 48307 (Tel: 2486516122)

📍

Updated Business Mailing Address July 05, 2012

Registered at 432 W. UNIVERSITY DR., ROCHESTER, MI 48307 (Tel: 2486516122)

👤

Provider Name / Credentials Updated July 05, 2012

Recorded as EFTHEMIOS RAPHTIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2012

Ophthalmology (License #4301062940 in MI)

🟢

Initial NPI Registration & Enumeration June 29, 2006

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: 1356379259

Entity Type:

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

Enumeration Date: June 29, 2006

Last Update: July 05, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

432 W. University Dr.

Rochester, MI 48307

Phone: 2486516122

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.