Active NPI 1306107644 Individual Practitioner Male Practitioner

Dr. Samuil D. Rafailov , DO

Surgery • Newton, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuil Rafailov, DO is a certified Surgery practicing in Newton, NJ. With approximately 14 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2012, Dr. Rafailov delivers high-quality medical care to the local community at 183 HIGH ST STE 1500.

Dr. Rafailov accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

183 High St Ste 1500

Newton, NJ 07860

Telephone 9733836244

Fax 9733830573

Associated Practice Facility / Clinic

🏢 Surgical Associates Of Sussex County Pa Facility NPI 1215989025

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Newton, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -8.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Newton, NJ (815 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafailov (14 Years) 14 Yrs

Newton Specialty Average (22.3 Years) 22.3 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$2551.16	$183.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	13	$1233.33	$125.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	22	$706.52	$121.95

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	63	60	$1000.00	$186.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	16	$600.00	$127.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$500.00	$123.68
47562 Removal of gallbladder using an endoscope	14	14	$22321.43	$633.47
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$459.09	$80.73

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	92	87	$1000.00	$213.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	26	$600.00	$110.27
47562 Removal of gallbladder using an endoscope	20	20	$18437.50	$520.34
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$348.33	$82.29

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	53	52	$817.58	$217.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	27	$360.24	$78.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$958.30	$147.74
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$342.05	$83.07
47562 Removal of gallbladder using an endoscope	18	18	$12291.67	$326.26
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	15	$1840.40	$92.00
99284 Emergency department visit with moderate level of medical decision making	13	13	$929.15	$131.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	68	$342.08	$114.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	73	$666.00	$221.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	39	$240.00	$78.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$449.93	$150.46
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	25	23	$731.96	$93.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$549.75	$183.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$363.00	$122.19
47562 Removal of gallbladder using an endoscope	13	13	$2222.00	$570.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	92	$240.00	$78.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	94	93	$450.00	$144.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$666.00	$217.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	14	$342.00	$111.65
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	16	$729.00	$92.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$363.00	$119.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$129.00	$42.23
47562 Removal of gallbladder using an endoscope	15	15	$2205.00	$644.20
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$333.00	$108.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$549.00	$180.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	19	$229.37	$77.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$423.83	$144.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$125.05	$41.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$585.64	$210.41

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MB10425100

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WA OP60738550

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 271919

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Brian Newman , MD

Surgery

NPI 1053399147

Doctor of Medicine (M.D.)

Dr. Sarah Chima , MD

Surgery

NPI 1205166147

Doctor of Medicine (M.D.)

Angela Lu , PA-C

Physician Assistant - Surgical

NPI 1386324465

Physician Assistant (Certified)

Dr. Cynthia Jones , MD

Surgery

NPI 1487654745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 23, 2018

Registered at 183 HIGH ST STE 1500, NEWTON, NJ 07860 (Tel: 9733836244)

📍

Updated Business Mailing Address August 23, 2018

Registered at PO BOX 416457, BOSTON, MA 022416457 (Tel: 8443621735)

✅

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2017

Registered at 4500 PARSONS BLVD, DEPARTMENT OF SURGERY, FLUSHING, NY 113552205 (Tel: 7186705000)

📍

Updated Business Mailing Address November 14, 2017

Registered at 4500 PARSONS BLVD, DEPARTMENT OF SURGERY, FLUSHING, NY 113552205

👤

Provider Name / Credentials Updated November 14, 2017

Recorded as SAMUIL RAFAILOV, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Surgery (License #OP60738550 in WA)

✅

NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2016

Registered at 4500 PARSONS BLVD, DEPARTMENT OF SURGERY, FLUSHING, NY 113552205 (Tel: 7186705000)

📍

Updated Business Mailing Address April 04, 2016

Registered at 4500 PARSONS BLVD, DEPARTMENT OF SURGERY, FLUSHING, NY 113552205

👤

Provider Name / Credentials Updated April 04, 2016

Recorded as SAMUIL RAFAILOV, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Surgery (License #271919 in NY)

🟢

Initial NPI Registration & Enumeration June 04, 2012

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: 1306107644

Entity Type:

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

Enumeration Date: June 04, 2012

Last Update: August 23, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 416457

Boston, MA 022416457

Phone: 8443621735

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.