NPPES file of Aug 9, 2026

Michael Rock Raphael, D.O.

Gastroenterology Physician · Farmington Hills, MI

Michael Rock Raphael, D.O. is a gastroenterology physician with a practice address in Farmington Hills, Michigan, and NPI 1518170406, issued on May 7, 2007. Check the license (Michigan 5101016523, as entered in NPPES) on the Michigan Board of Medicine (LARA); 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
1518170406
Name
Michael Rock Raphael
Credential
D.O.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
5101016523 MI
Self-reported in NPPES; status is on the state search
Practice location
30055 Northwestern Hwy, Farmington Hills, MI 48334
Phone
(248) 985-5000
Enumerated
May 7, 2007
Record last updated
Oct 7, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(248) 985-5500
Medicare enrollment
Enrolled (PECOS I20110614000721); accepts Medicare assignment
Medical or professional school
Des Moines University Of Osteopathic Medicine And Health Sciences, 2005
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 30055 Northwestern Hwy

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

  1. Seilesh Babu, MDOtology & Neurotology Physician1528059797
  2. Heather Balon, AU.D.Audiologist1104162171
  3. Jacqueline Balon, NPNurse Practitioner1306800933
  4. Mikala Barry, PA-CPhysician Assistant1760639512
  5. Rachel Beckley, AU.D.Audiologist1578735726
  6. Dennis Bojrab, MDOtology & Neurotology Physician1114918307

Verify Michael Rock Raphael in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 5101016523
    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 Michigan 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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27% more Medicare Part D claims than the average gastroenterology physician in 2024

1,030 Medicare Part D claims for 384 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.

  1. Michael Raphael1,030
  2. Specialty average811

Most prescribed

  1. Pantoprazole Sodium310 claims
  2. Omeprazole74 claims
  3. Sucralfate72 claims
  4. Famotidine63 claims
  5. Sod Sulf-Potass Sulf-Mag Sulf63 claims
  6. Dicyclomine Hcl38 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): 87.3 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. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%57.6
  3. Promoting interoperabilitynot scored (reweighted)
  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: $1,138.48

58 payments; by number, the most common kind was food and beverage; the largest payer was Takeda Pharmaceuticals U.S.A., Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Raphael$1,138.48
  2. Specialty average$5,015.95

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. Covenant Medical Center IncSaginaw, MI

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

Michael Rock Raphael among 550 gastroenterology physician records in Michigan

Michael Rock Raphael, D.O. is one of 550 gastroenterology physician records with a practice address in Michigan. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 50% of them.

  • NPI issued2007 · 50% of these records are older, 38% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2005 · median 2003 among the 415 with a school on file
  • Record last updated2020 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Michigan

There are 550 gastroenterology physician records in Michigan.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Alan Cutler, MDFarmington Hills, MI 483341366425787
  2. Janice Fields, MDFarmington Hills, MI 483341346223609
  3. Roberto Gamarra, M.D.Farmington Hills, MI 483341013039734
  4. Phillip Goldmeier, MDFarmington Hills, MI 483341164405437
  5. Jay Levinson, MDFarmington Hills, MI 483341275516692
  6. Luis Maas, M.D.Farmington Hills, MI 483341750361226
  7. Edward Yousif, MDFarmington Hills, MI 483341336124767
  8. Michael Biederman, D.O.Farmington Hills, MI 483361962472423

Common questions

What is Michael Rock Raphael, D.O.'s NPI number?

Michael Rock Raphael, D.O.'s National Provider Identifier (NPI) is 1518170406, issued on May 7, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Michael Rock Raphael, D.O. located?

The NPPES record lists a practice address at 30055 Northwestern Hwy, Farmington Hills, MI, 48334. Phone: (248) 985-5000. Providers update this record themselves, so call before visiting.

How can I verify Michael Rock Raphael, D.O.'s license?

NPPES lists Michigan license number 5101016523, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Rock Raphael, D.O. prescribe under Medicare Part D?

In 2024, Michael Rock Raphael, D.O. had 1,030 Medicare Part D claims for 384 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Michael Rock Raphael, D.O.'s MIPS final score?

The 2023 MIPS final score is 87.3 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.