Active NPI 1477515781 Individual Practitioner Female Practitioner

Dr. Elyse S. Rafal , MD

Dermatology • Stony Brook, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Elyse Rafal, MD is a certified Dermatology practicing in Stony Brook, NY. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Rafal delivers high-quality medical care to the local community at 2500 ROUTE 347.

Dr. Rafal accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 Route 347
Building 22a

Stony Brook, NY 117902555

Telephone 6316890300

Fax 6316891153

Associated Practice Facility / Clinic

🏢 Suffolk Nephrology Consultants Pc Facility NPI 1508866492

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Stony Brook, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +15.4 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Stony Brook, NY (1289 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafal (38 Years) 38 Yrs

Stony Brook Specialty Average (22.6 Years) 22.6 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	527	152	$158.89	$103.65
11102 Tangential biopsy of single skin lesion	179	80	$178.33	$117.13
17003 Destruction of precancer skin growth, 2-14 growths	125	21	$11.67	$7.67
17004 Destruction of precancer skin growth, 15 or more growths	103	40	$296.95	$195.04
11900 Injection into skin growth, 1-7 growths	83	22	$102.03	$66.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$200.55	$127.58
17000 Destruction of skin growth	47	30	$119.72	$78.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	12	$1.51	$0.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$500.00	$146.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	512	156	$160.74	$104.92
11102 Tangential biopsy of single skin lesion	167	87	$186.49	$122.42
17003 Destruction of precancer skin growth, 2-14 growths	113	15	$12.00	$7.87
17004 Destruction of precancer skin growth, 15 or more growths	110	40	$310.81	$204.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$201.86	$132.65
11900 Injection into skin growth, 1-7 growths	74	24	$104.57	$68.17
17000 Destruction of skin growth	47	23	$122.27	$79.40
96900 Application of ultraviolet light to skin	44	13	$45.53	$29.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	17	15	$1.63	$1.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$500.00	$150.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	455	137	$168.30	$108.33
17004 Destruction of precancer skin growth, 15 or more growths	144	48	$314.06	$207.23
11102 Tangential biopsy of single skin lesion	130	78	$192.95	$126.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$217.67	$135.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	14	$3.10	$1.16
11900 Injection into skin growth, 1-7 growths	36	14	$104.17	$69.14
17000 Destruction of skin growth	22	15	$126.11	$83.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	103	$172.83	$110.47
11102 Tangential biopsy of single skin lesion	116	72	$192.99	$129.17
17004 Destruction of precancer skin growth, 15 or more growths	81	36	$307.83	$206.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	50	$252.41	$153.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$249.65	$132.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$349.67	$196.13
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	15	14	$42.40	$11.92
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	14	$43.63	$16.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	273	138	$134.99	$89.63
11102 Tangential biopsy of single skin lesion	105	71	$185.82	$123.38
17004 Destruction of precancer skin growth, 15 or more growths	47	27	$289.68	$192.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$194.58	$129.16
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	33	28	$21.35	$14.17
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	33	28	$25.95	$17.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	24	$260.52	$172.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	474	162	$134.23	$86.47
11102 Tangential biopsy of single skin lesion	189	109	$210.74	$119.42
17003 Destruction of precancer skin growth, 2-14 growths	98	18	$21.17	$6.97
17004 Destruction of precancer skin growth, 15 or more growths	93	36	$324.99	$183.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$204.65	$127.44
17000 Destruction of skin growth	29	23	$129.29	$77.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$191.13	$126.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	505	191	$141.00	$82.07
11100 Biopsy of single growth of skin and/or tissue	166	97	$253.00	$123.31
17003 Destruction of precancer skin growth, 2-14 growths	154	18	$59.00	$6.31
17004 Destruction of precancer skin growth, 15 or more growths	99	41	$500.00	$168.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$250.00	$123.43
17000 Destruction of skin growth	34	22	$168.00	$77.11
11900 Injection into skin growth, 1-7 growths	32	17	$122.00	$65.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$110.00	$50.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	436	168	$141.00	$84.61
11100 Biopsy of single growth of skin and/or tissue	161	101	$253.00	$124.05
17003 Destruction of precancer skin growth, 2-14 growths	151	21	$59.00	$6.94
17004 Destruction of precancer skin growth, 15 or more growths	68	34	$500.00	$180.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$250.00	$127.22
17000 Destruction of skin growth	36	22	$168.00	$79.85

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NY 1915433-1

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Mark Epstein , MD

Plastic Surgery - Surgery of the Hand

NPI 1255393567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2008

Registered at 2500 ROUTE 347, BUILDING 22A, STONY BROOK, NY 117902555 (Tel: 6316890300)

📍

Updated Business Mailing Address June 09, 2008

Registered at 2500 ROUTE 347, BUILDING 22A, STONY BROOK, NY 117902555 (Tel: 6316890300)

👤

Provider Name / Credentials Updated June 09, 2008

Recorded as ELYSE RAFAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Dermatology (License #1915433-1 in NY)

🟢

Initial NPI Registration & Enumeration April 03, 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: 1477515781

Entity Type:

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

Enumeration Date: April 03, 2006

Last Update: June 09, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2500 Route 347, Building 22a

Stony Brook, NY 117902555

Phone: 6316890300

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.