NPPES file of Aug 9, 2026

Craig William Raphael, M.D.

Clinical Cardiac Electrophysiology Physician · East Norriton, PA

Craig William Raphael, M.D. is a clinical cardiac electrophysiology physician with a practice address in East Norriton, Pennsylvania, and NPI 1578981940, issued on Apr 2, 2014. Check the license (Pennsylvania MD478651, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1578981940
Name
Craig William Raphael
Credential
M.D.
Primary taxonomy
Clinical Cardiac Electrophysiology Physician 207RC0001X
License number
MD478651 PA
Self-reported in NPPES; status is on the state search
Practice location
609 W Germantown Pike Ste 120, East Norriton, PA 19403
Phone
(610) 279-1370
Enumerated
Apr 2, 2014
Record last updated
Apr 4, 2025
Medicare enrollment
Enrolled (PECOS I20220714001863); accepts Medicare assignment
Medical or professional school
University Of Missouri, Kansas City, School Of Medicine, 2014
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 609 W Germantown Pike Ste 120

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Azadeh Ahmadian, M.D.Cardiovascular Disease Physician1639437841
  2. Arthur Belber, MDCardiovascular Disease Physician1154323095
  3. Dexter Jacob, M.D.Interventional Cardiology Physician1306112644
  4. Wendy Mercier, ACNPAcute Care Nurse Practitioner1487077129
  5. Vincent Nguyen, MDInterventional Cardiology Physician1265726467
  6. Justin PelbergAdvanced Heart Failure and Transplant Cardiology Physician1467743344

Verify Craig William Raphael in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD478651
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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40% fewer Medicare Part D claims than the average clinical cardiac electrophysiology physician in 2024

1,031 Medicare Part D claims for 194 beneficiaries, against an average of 1,710 among the 3,173 providers of this specialty who prescribed in Part D.

  1. Craig Raphael1,031
  2. Specialty average1,710

Most prescribed

  1. Eliquis180 claims
  2. Amiodarone Hcl93 claims
  3. Flecainide Acetate88 claims
  4. Metoprolol Succinate87 claims
  5. Furosemide66 claims
  6. Atorvastatin Calcium54 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 98.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,844.34

43 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 3,167 providers of this specialty with any payment received $10,651.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Craig Raphael$1,844
  2. Specialty average$10,651

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Cardiology Consultants OF Philadelphia PCPhiladelphia, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Craig William Raphael among 205 clinical cardiac electrophysiology physician records in Pennsylvania

Craig William Raphael, M.D. is one of 205 clinical cardiac electrophysiology physician records with a practice address in Pennsylvania. 96% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 86% of them.

  • NPI issued2014 · 86% of these records are older, 11% newer
  • In a Medicare fileYes · 96% of these records are
  • In the CMS Doctors and Clinicians fileYes · 82% of these records are
  • Graduated2014 · median 2001 among the 168 with a school on file
  • Record last updated2025 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0001X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Cardiac Electrophysiology Physician providers in Pennsylvania

There are 205 clinical cardiac electrophysiology physician records in Pennsylvania.

The 8 clinical cardiac electrophysiology physician records with the nearest ZIP codes

  1. Danesh Modi, D.O.East Norriton, PA 194031629237417
  2. Marino Leonardi, MDNorristown, PA 194011467461707
  3. Richard Hui, M.D.West Chester, PA 193801841350733
  4. Michael Riordan, M.DWest Chester, PA 193801629487343
  5. Kurt Schillinger, MDWest Chester, PA 193801861557746
  6. Michael Sabadish, M.D.Thorndale, PA 193721154393072
  7. Eric Rosenwinkel, MDLansdale, PA 194461821263799
  8. Seyed Saeid Sajadi Jahromi, MDPhoenixville, PA 194601518174994

Common questions

What is Craig William Raphael, M.D.'s NPI number?

Craig William Raphael, M.D.'s National Provider Identifier (NPI) is 1578981940, issued on Apr 2, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Craig William Raphael, M.D. located?

The NPPES record lists a practice address at 609 W Germantown Pike Ste 120, East Norriton, PA, 19403. Phone: (610) 279-1370. Providers update this record themselves, so call before visiting.

How can I verify Craig William Raphael, M.D.'s license?

NPPES lists Pennsylvania license number MD478651, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Craig William Raphael, M.D. prescribe under Medicare Part D?

In 2024, Craig William Raphael, M.D. had 1,031 Medicare Part D claims for 194 beneficiaries; the average among clinical cardiac electrophysiology physician prescribers was 1,710. Part D covers Medicare prescriptions only.

What is Craig William Raphael, M.D.'s MIPS final score?

The 2023 MIPS final score is 98.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.