Active NPI 1609910009 Individual Practitioner Male Practitioner

Dr. Tal R Raphaeli , MD

Colon & Rectal Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tal Raphaeli, MD is a certified Colon & Rectal Surgery practicing in Houston, TX. With approximately 20 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2006, Dr. Raphaeli delivers high-quality medical care to the local community at 1125 CYPRESS STATION DR STE G-3.

Dr. Raphaeli is affiliated with Northwest Colon And Rectal Surgery, P.A. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1125 Cypress Station Dr Ste G-3

Houston, TX 770903055

Telephone 2815831300

Fax 2815831303

Associated Practice Facility / Clinic

🏢 Northwest Colon & Rectal Surgery, P.a. Facility NPI 1740200203

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

42 Specialists

Practicing in Houston, TX (213 Statewide)

Telehealth Adoption Rate

35.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raphaeli (20 Years) 20 Yrs

Houston Specialty Average (21.1 Years) 21.1 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	66	44	$225.98	$91.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	31	$157.00	$77.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	48	$281.00	$126.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$290.00	$112.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$145.00	$56.77
46600 Diagnostic examination of the anus using an endoscope	13	13	$164.00	$117.26

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	62	40	$157.00	$80.13
99213 Established patient office or other outpatient visit, typically 15 minutes	60	40	$225.00	$91.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	46	$280.85	$132.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$290.00	$114.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$145.00	$57.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$269.00	$129.64

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	84	53	$157.00	$70.19
99213 Established patient office or other outpatient visit, typically 15 minutes	64	44	$225.00	$93.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$281.00	$137.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$290.00	$115.53
46600 Diagnostic examination of the anus using an endoscope	22	18	$164.00	$128.83
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$217.90	$93.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$145.00	$58.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	67	$281.00	$140.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$285.80	$117.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	30	$157.00	$74.50
99213 Established patient office or other outpatient visit, typically 15 minutes	58	44	$209.19	$95.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	28	$113.00	$39.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$136.65	$59.04
46600 Diagnostic examination of the anus using an endoscope	12	12	$164.00	$129.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	48	$113.00	$41.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$281.00	$144.08
99213 Established patient office or other outpatient visit, typically 15 minutes	50	35	$94.00	$78.18
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$124.00	$79.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$162.00	$108.55
46600 Diagnostic examination of the anus using an endoscope	15	15	$164.00	$108.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$74.00	$47.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	56	$94.00	$75.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	35	$113.00	$40.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	56	$281.00	$139.71
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$124.00	$77.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$162.00	$110.47
46600 Diagnostic examination of the anus using an endoscope	22	21	$164.00	$98.47

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	90	57	$157.00	$73.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	68	$281.00	$138.88
99213 Established patient office or other outpatient visit, typically 15 minutes	67	43	$94.00	$74.04
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$126.70	$76.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$162.00	$109.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$113.00	$39.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$74.00	$44.52
46600 Diagnostic examination of the anus using an endoscope	16	16	$164.00	$91.41

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	94	60	$157.00	$70.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	73	$280.73	$132.13
99213 Established patient office or other outpatient visit, typically 15 minutes	44	31	$94.00	$69.82
46600 Diagnostic examination of the anus using an endoscope	25	23	$164.00	$86.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$74.00	$42.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$235.00	$159.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$162.00	$105.06
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$128.87	$72.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$113.00	$38.30

Medical Specialties & State Licenses

CMS Verified: 2023-02-27

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License TX P1919

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

Northwest Colon And Rectal Surgery, P.a.

18220 Tomball Pkwy, Houston, TX 770704347

Phone: 2814771000

Northwest Colon And Rectal Surgery, P.a.

18951 N Memorial Dr, Humble, TX 773384217

Phone: 2815407700

Northwest Colon And Rectal Surgery, P.a.

300 Kingwood Medical Dr, Kingwood, TX 773396400

Phone: 2813124000

Northwest Colon And Rectal Surgery, P.a.

710 Fm 1960, Houston, TX 770903496

Phone: 2814401000

Northwest Colon And Rectal Surgery, P.a.

17201 Interstate 45 S, The Woodlands, TX 773853311

Phone: 9362702000

Northwest Colon And Rectal Surgery, P.a.

20171 Chasewood Park Dr, Houston, TX 770701437

Phone: 8325345000

Northwest Colon And Rectal Surgery, P.a.

920 Medical Plaza Dr, Shenandoah, TX 773803259

Phone: 2815831300

Northwest Colon And Rectal Surgery, P.a.

1125 Cypress Station Dr, Houston, TX 770903055

Phone: 2815831300

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Khawaja Azimuddin , MD

Surgery

NPI 1811946478

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 August 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2012

Registered at 1125 CYPRESS STATION DR STE G-3, HOUSTON, TX 770903055 (Tel: 2815831300)

📍

Updated Business Mailing Address August 07, 2012

Registered at 1125 CYPRESS STATION DR STE G-3, HOUSTON, TX 770903055 (Tel: 2815831300)

👤

Provider Name / Credentials Updated August 07, 2012

Recorded as TAL RAPHAELI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2012

Colon & Rectal Surgery (License #P1919 in TX)

🟢

Initial NPI Registration & Enumeration February 18, 2007

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: 1609910009

Entity Type:

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

Enumeration Date: February 18, 2007

Last Update: February 27, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1125 Cypress Station Dr Ste G-3

Houston, TX 770903055

Phone: 2815831300

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.