Doctor profile · Federal record
Dr. Mark Raphael, DO
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Saginaw, MI
- NPI 1922428382
- Accepts Medicare
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
900 Cooper Ave Ste 4300
Saginaw, MI 486025182
(989) 583-7460 - Additional location
-
28050 Grand River Ave, Department of Medical Education
Farmington Hills, MI 483365919
(248) 888-2515
fax (248) 471-8837 - Mailing address
-
1447 N Harrison St
Saginaw, MI 486024727
Credentials & registration
- NPI registered
- April 2014 — 12 yrs on file
- Profile last updated
- March 26, 2021
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Michigan #5101020932
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922428382. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
600
Distinct HCPCS
10
Medicare allowed
$73,261
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 149 | 141 | $85 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 95 | 92 | $124 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 77 | 76 | $81 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 77 | 76 | $238 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $159 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 32 | 30 | $76 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 29 | 29 | $81 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | 21 | $104 | |
43248 |
Insertion of guide wire with dilation of esophagus using a flexible endoscope | 16 | 16 | $147 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 16 | 11 | $94 |
In context: peer comparison
Among 4 peers in Saginaw Gastroenterology Physician, average services per provider: 41. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$589
Transactions
32
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 13 | $235.61 | |
| Ironwood Pharmaceuticals, INC | 3 | $61.31 | |
| Takeda Pharmaceuticals U.S.A., INC. | 3 | $50.63 | |
| Janssen Biotech, INC. | 2 | $40.75 | |
| Pfizer INC. | 2 | $35.13 | |
| Intercept Pharmaceuticals, INC. | 2 | $34.47 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 1 | $22.70 | |
| Celltrion USA INC. | 1 | $20.21 | |
| Ipsen Biopharmaceuticals, INC | 1 | $18.58 | |
| CapsoVision, INC. | 1 | $18.57 | |
| Aimmune Therapeutics, INC. | 1 | $17.02 | |
| Celgene Corporation | 1 | $16.82 | |
| Lilly USA, LLC | 1 | $16.75 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
968
Patients
609
Total drug cost
$63,285
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 289 | 139 | $6,441 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 204 | 199 | $3,766 |
| Pantoprazole Sodium | Generic | 85 | 36 | $1,722 |
| Famotidine | Generic | 60 | 22 | $442 |
| Sucralfate | Generic | 51 | 32 | $7,054 |
| Linzess (Linaclotide) | Brand | 41 | 16 | $21,976 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 39 | 38 | $2,724 |
| Nystatin | Generic | 33 | 32 | $493 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 33 | 33 | $946 |
| Clenpiq (Sod Picosulf/Mag Ox/Citric Ac) | Brand | 28 | 26 | $4,735 |
Frequently asked questions
What is Dr. Mark Raphael's medical specialty?
Dr. Mark Raphael practices Gastroenterology Physician in Saginaw, MI.
Where does Dr. Mark Raphael practice?
Dr. Mark Raphael practices at 900 Cooper Ave Ste 4300, Saginaw, MI 486025182. Office phone: 9895837460.
What is Dr. Mark Raphael's NPI?
Dr. Mark Raphael's National Provider Identifier (NPI) is 1922428382, issued by NPPES.
Does Dr. Mark Raphael accept Medicare assignment?
Yes. Dr. Mark Raphael accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Raphael commonly perform?
Top Medicare-reported procedures in 2023: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.