James Raphael, MD
Orthopaedic Surgery Physician · Philadelphia, PA
James Raphael, MD is an orthopaedic surgery physician with a practice address in Philadelphia, Pennsylvania, and NPI 1093783581, issued on Mar 9, 2006. Check the license (Pennsylvania MD049979L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- James Raphael
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- MD049979L PA
Self-reported in NPPES; status is on the state search - Practice location
- 5501 Old York RD, Philadelphia, PA 19141
- Phone
- (215) 456-7900
- Enumerated
- Mar 9, 2006
- Record last updated
- Dec 19, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (215) 456-5948
- Medicaid ID
- 001493768 PA
- Medicare enrollment
- Enrolled (PECOS I20110609000547); accepts Medicare assignment
- Medical or professional school
- State University Of Ny Upstate Medical University, 1988
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 1,253 in Pennsylvania → Look up another NPI →
Also registered at 5501 Old York RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify James Raphael in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD049979LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
90% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
34 Medicare Part D claims for 22 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D.
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.
Industry payments in 2024: $243.66
2 payments; by number, the most common kind was food and beverage; the largest payer was restor3d, inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Einstein Practice Plan IncPhila, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Raphael among 1,253 orthopaedic surgery physician records in Pennsylvania
James Raphael, MD is one of 1,253 orthopaedic surgery physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 21% of them.
- NPI issued2006 · 21% of these records are older, 48% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1988 · median 2003 among the 777 with a school on file
- Record last updated2012 · 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 207X00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Pennsylvania
There are 1,253 orthopaedic surgery physician records in Pennsylvania.
All 1,253 in Pennsylvania → Every provider in Philadelphia → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Richard Grant, MDPhiladelphia, PA 191411528087988
- John Handal, MDPhiladelphia, PA 191411730157314
- Lee Kripke, MDPhiladelphia, PA 191411063907004
- Sue Lee, MDPhiladelphia, PA 191411083672117
- Robert Liebenberg, MDPhiladelphia, PA 191411346202108
- Seyedalireza MirghasemiPhiladelphia, PA 191411063908291
- Julius Oni, MDPhiladelphia, PA 191411083810428
- Harrison PotakPhiladelphia, PA 191411578069241
Common questions
What is James Raphael, MD's NPI number?
James Raphael, MD's National Provider Identifier (NPI) is 1093783581, issued on Mar 9, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James Raphael, MD located?
The NPPES record lists a practice address at 5501 Old York RD, Philadelphia, PA, 19141. Phone: (215) 456-7900. Providers update this record themselves, so call before visiting.
How can I verify James Raphael, MD's license?
NPPES lists Pennsylvania license number MD049979L, 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 James Raphael, MD prescribe under Medicare Part D?
In 2024, James Raphael, MD had 34 Medicare Part D claims for 22 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
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.