Active NPI 1467558130 Individual Practitioner Male Practitioner

Dr. Irving G Raphael , MD

Orthopaedic Surgery • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Dr. Irving Raphael, MD is a certified Orthopaedic Surgery practicing in Syracuse, NY. With approximately 55 years of clinical experience since graduating from Yale University School Of Medicine in 1971, Dr. Raphael delivers high-quality medical care to the local community at 475 IRVING AVE.

Dr. Raphael does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include removal of extensive shoulder joint tissue using an endoscope, aspiration and/or injection of fluid from large joint, injection, methylprednisolone acetate, 80 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

475 Irving Ave
Suite 418

Syracuse, NY 132101756

Telephone 3154260190

Fax 3154260192

Associated Practice Facility / Clinic

🏢 Loftus, Ryu & Bartol Md's Pc Facility NPI 1326041286

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

1971

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Syracuse, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +27.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

16 Specialists

Practicing in Syracuse, NY (1450 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raphael (55 Years) 55 Yrs

Syracuse Specialty Average (27.4 Years) 27.4 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
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$146.00	$24.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	124	83	$233.13	$59.80
J1040 Injection, methylprednisolone acetate, 80 mg	81	61	$30.00	$11.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	69	$175.00	$103.44
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$130.46	$70.28
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	53	25	$450.00	$141.29
73562 X-ray of knee, 3 views	35	26	$81.63	$29.88
73030 X-ray of shoulder, minimum of 2 views	34	31	$82.39	$27.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$200.00	$99.36
73630 X-ray of foot, minimum of 3 views	16	14	$19.19	$18.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	305	144	$256.43	$66.71
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	196	52	$450.00	$135.16
J1040 Injection, methylprednisolone acetate, 80 mg	190	116	$30.00	$12.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	118	$175.00	$107.10
99213 Established patient office or other outpatient visit, typically 15 minutes	80	74	$130.00	$72.59
73562 X-ray of knee, 3 views	79	60	$87.79	$33.49
73030 X-ray of shoulder, minimum of 2 views	48	39	$81.86	$27.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$200.00	$107.65
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	18	12	$2960.00	$669.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	243	148	$233.85	$62.61
J1040 Injection, methylprednisolone acetate, 80 mg	190	121	$30.00	$10.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	106	$175.00	$100.38
99213 Established patient office or other outpatient visit, typically 15 minutes	138	118	$130.51	$68.38
73562 X-ray of knee, 3 views	96	74	$60.35	$23.36
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	94	37	$450.00	$151.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$200.00	$100.44
73030 X-ray of shoulder, minimum of 2 views	44	41	$58.85	$20.43
73502 X-ray of hip, 2-3 views	22	22	$91.94	$33.98
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	17	14	$2960.00	$861.97

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NY 113215

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

7 Associated Practitioners

Deborah Pflugh , NP

Nurse Practitioner - Adult Health

NPI 1013016617

Nurse Practitioner

Katherine Manser , NP

Nurse Practitioner - Family

NPI 1154541449

Nurse Practitioner

Nancy Parsons , NP

Nurse Practitioner - Adult Health

NPI 1194824896

Nurse Practitioner

Dr. Wayne Eckhardt , MD

Orthopaedic Surgery

NPI 1609972710

Doctor of Medicine (M.D.)

Amy Gemelli , PA

Physician Assistant - Surgical

NPI 1831298504

Physician Assistant

Kevin Lake , RPA

Physician Assistant - Medical

NPI 1841253341

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 475 IRVING AVE, SUITE 418, SYRACUSE, NY 132101756 (Tel: 3154260190)

📍

Updated Business Mailing Address July 08, 2007

Registered at 475 IRVING AVE, SUITE 418, SYRACUSE, NY 132101756 (Tel: 3154260190)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as IRVING RAPHAEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #113215 in NY)

🟢

Initial NPI Registration & Enumeration September 16, 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: 1467558130

Entity Type:

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

Enumeration Date: September 16, 2006

Last Update: April 06, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

475 Irving Ave, Suite 418

Syracuse, NY 132101756

Phone: 3154260190

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.