NPPES file of Aug 9, 2026

Ryan Adam Raffel, MD

Obstetrics & Gynecology Physician · Newark, NJ

Ryan Adam Raffel, MD is an obstetrics & gynecology physician with a practice address in Newark, New Jersey, and NPI 1467984351, issued on Mar 30, 2017. Check the license (New Jersey 25MA11049800, as entered in NPPES) on the New Jersey State Board of Medical Examiners; 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
1467984351
Name
Ryan Adam Raffel
Credential
MD
Primary taxonomy
Obstetrics & Gynecology Physician 207V00000X
License number
25MA11049800 NJ
Self-reported in NPPES; status is on the state search
Practice location
166 Lyons Ave FL 2, Newark, NJ 07112
Phone
(973) 926-4882
Enumerated
Mar 30, 2017
Record last updated
May 31, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20210729002756); accepts Medicare assignment
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 166 Lyons Ave FL 2

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

  1. Madhu Suryadevara, M.D.Infectious Disease Physician1578906772

Verify Ryan Adam Raffel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA11049800
    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 New Jersey license search

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92% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024

13 Medicare Part D claims, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D.

  1. Ryan Raffel13
  2. Specialty average165

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): 73.3 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 score44.9
  2. Costout of 100 · 30%47.7
  3. Promoting interoperabilityout of 100 · 25%83.0
  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: $45.01

3 payments; by number, the most common kind was food and beverage; the largest payer was Organon Llc. The 21,429 providers of this specialty with any payment received $1,030.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ryan Raffel$45.01
  2. Specialty average$1,030.61

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. Barnabas Health Medical Group PCNewark, NJ

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

Ryan Adam Raffel among 1,362 obstetrics & gynecology physician records in New Jersey

Ryan Adam Raffel, MD is one of 1,362 obstetrics & gynecology physician records with a practice address in New Jersey. 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 2017, is newer than 84% of them.

  • NPI issued2017 · 84% of these records are older, 13% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2016 · median 2003 among the 900 with a school on file
  • Record last updated2021 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

52 obstetrics & gynecology physician records list a practice address in Newark

They are 52 of the 4,875 NPPES records with a practice address in Newark, and 1,362 obstetrics & gynecology physician records in New Jersey.

The 8 obstetrics & gynecology physician records with the nearest ZIP codes

  1. Tatiana Ambarus, MDNewark, NJ 071121326174715
  2. Edsel Antonio, DONewark, NJ 071121265790752
  3. Neha Bhagat, DONewark, NJ 071121669817052
  4. Elena Bronshtein, M.D.Newark, NJ 071121205168309
  5. Julio Caban, MDNewark, NJ 071121043286297
  6. John Hatchard, MDNewark, NJ 071121669435657
  7. Alexander Juusela, M.D.Newark, NJ 071121184036352
  8. Jennifer KiddNewark, NJ 071121144609868

Common questions

What is Ryan Adam Raffel, MD's NPI number?

Ryan Adam Raffel, MD's National Provider Identifier (NPI) is 1467984351, issued on Mar 30, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Ryan Adam Raffel, MD located?

The NPPES record lists a practice address at 166 Lyons Ave FL 2, Newark, NJ, 07112. Phone: (973) 926-4882. Providers update this record themselves, so call before visiting.

How can I verify Ryan Adam Raffel, MD's license?

NPPES lists New Jersey license number 25MA11049800, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ryan Adam Raffel, MD prescribe under Medicare Part D?

In 2024, Ryan Adam Raffel, MD had 13 Medicare Part D claims; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.

What is Ryan Adam Raffel, MD's MIPS final score?

The 2023 MIPS final score is 73.3 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.