Dr. Gary E Raffel , DO
Internal Medicine • Lewes, DE
16529 Coastal Hwy
Lewes, DE 199583696
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 1, 2005; this date does not establish years in practice.
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Published CMS data list 527 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 155 service units.
- 99214 — Established patient outpatient office visit: 153 service units.
- 99212 — Established patient outpatient office visit: 109 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 3,048 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amlodipine Besylate — 213 prescription fills, including refills.
- Atorvastatin Calcium — 176 prescription fills, including refills.
- Losartan Potassium — 114 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 86 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Lewes, DE (2024, 38 clinicians with data). Median for this group: 1,053. Middle half: 543 to 1,721.
Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: 725. Middle half: 300 to 1,159.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 701 in 2020 to 527 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
16529 Coastal Hwy
Lewes, DE 199583696
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
West Virginia School Of Osteopathic Medicine
1991
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
160 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $45,583 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $31,386 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
7,168 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$311,152 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $12.43 in 2021
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2021.
Years since graduation
35 years (graduated 1991)
CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Raffel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Raffel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lewes and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Lewes, DE (2024, 38 clinicians with data). Median for this group: 1,053. Middle half: 543 to 1,721.
Close to the middle for clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: 725. Middle half: 300 to 1,159.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Lewes, DE (2024, 38 clinicians with data). Median for this group: $117,528. Middle half: $49,215 to $155,028.
A lower Medicare-allowed amount than 65% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: $70,420. Middle half: $31,824 to $110,420.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Internal Medicine in Lewes, DE (2024, 38 clinicians with data). Median for this group: $88,825. Middle half: $35,145 to $123,954.
A lower Medicare payment amount than 65% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: $54,415. Middle half: $24,740 to $87,023.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Lewes, DE (2024, 32 clinicians with data). Median for this group: 200. Middle half: 100 to 2,151.
More Part D prescriptions than 70% of clinicians listed under Internal Medicine in Delaware (2024, 343 clinicians with data). Median for this group: 223. Middle half: 60 to 3,145.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Internal Medicine in Lewes, DE (2024, 32 clinicians with data). Median for this group: $12,667. Middle half: $8,079 to $198,172.
A higher Part D drug cost than 75% of clinicians listed under Internal Medicine in Delaware (2024, 343 clinicians with data). Median for this group: $17,490. Middle half: $814 to $271,582.
43 active clinicians are listed under Internal Medicine with a practice address in Lewes, DE (601 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lewes
20.9% of these 43 clinicians have the CMS telehealth indicator.
88.4% of these 43 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 25% from 701 in 2020 to 527 in 2024.
- 2020: 701
- 2021: 521
- 2022: 463
- 2023: 442
- 2024: 527
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Medicare-allowed amount
Medicare-allowed amount decreased 14% from $53,097 in 2020 to $45,583 in 2024.
- 2020: $53,097
- 2021: $50,105
- 2022: $46,949
- 2023: $48,047
- 2024: $45,583
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Paid by Medicare
Paid by Medicare decreased 10% from $34,792 in 2020 to $31,386 in 2024.
- 2020: $34,792
- 2021: $32,633
- 2022: $31,335
- 2023: $31,511
- 2024: $31,386
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 3,164 in 2020 and 3,048 in 2024.
- 2020: 3,164
- 2021: 4,095
- 2022: 3,888
- 2023: 3,234
- 2024: 3,048
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30-day fills
30-day fills varied from year to year: 7,033 in 2020 and 7,168 in 2024.
- 2020: 7,033
- 2021: 8,876
- 2022: 8,285
- 2023: 7,276
- 2024: 7,168
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Part D drug cost
Part D drug cost increased 49% from $208,373 in 2020 to $311,152 in 2024.
- 2020: $208,373
- 2021: $261,879
- 2022: $254,612
- 2023: $269,361
- 2024: $311,152
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $404.20 in 2019 to $12.43 in 2021.
- 2019: $404.20
- 2020: $94.31
- 2021: $12.43
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $12.43.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
RYBELSUS | General | $12.43 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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155 | 81 | $135.00 | $89.21 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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153 | 99 | $170.00 | $125.67 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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109 | 69 | $100.00 | $55.54 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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83 | 57 | $50.00 | $22.64 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $225.00 | $164.44 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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12 | 11 | $225.00 | $177.36 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 213 | 18,522 | $2,037.08 | 64 |
| Atorvastatin Calcium | Atorvastatin Calcium | 176 | 12,700 | $2,347.13 | 46 |
| Losartan Potassium | Losartan Potassium | 114 | 10,102 | $1,730.57 | 34 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 113 | 9,520 | $1,450.22 | 33 |
| Levothyroxine Sodium | Levothyroxine Sodium | 107 | 9,222 | $1,265.11 | 33 |
| Tamsulosin Hcl | Tamsulosin Hcl | 101 | 7,630 | $2,259.60 | 29 |
| Metoprolol Succinate | Metoprolol Succinate | 99 | 7,398 | $1,395.18 | 27 |
| Lisinopril | Lisinopril | 89 | 6,890 | $277.22 | 25 |
| Omeprazole | Omeprazole | 88 | 7,596 | $1,775.08 | 27 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 87 | 7,780 | $2,105.03 | 26 |
| Carvedilol | Carvedilol | 58 | 4,185 | $851.65 | 17 |
| Jardiance | Empagliflozin | 58 | 4,380 | $78,437.21 | 15 |
| Azithromycin | Azithromycin | 56 | 243 | $187.61 | 41 |
| Simvastatin | Simvastatin | 54 | 4,900 | $587.63 | 17 |
| Metformin Hcl | Metformin Hcl | 54 | 4,800 | $503.07 | 16 |
| Lorazepam | Lorazepam | 53 | 2,163 | $308.82 | 17 |
| Eliquis | Apixaban | 50 | 3,037 | $59,406.88 | 13 |
| Prednisone | Prednisone | 44 | 862 | $103.42 | 27 |
| Alprazolam | Alprazolam | 44 | 2,415 | $256.27 | 13 |
| Allopurinol | Allopurinol | 39 | 3,510 | $355.85 | 12 |
| Tramadol Hcl | Tramadol Hcl | 38 | 492 | $108.26 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 38 | 2,860 | $544.12 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 34 | 2,340 | $715.99 | — |
| Mupirocin | Mupirocin | 34 | 668 | $308.33 | 27 |
| Gabapentin | Gabapentin | 33 | 2,310 | $721.21 | 11 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20150126001755
DE
7315047883
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 16529 COASTAL HWY, LEWES, DE 199583696 (Tel: (302) 684-2000)
Registered at 16529 COASTAL HWY, LEWES, DE 199583696 (Tel: (302) 684-2000)
Recorded as GARY RAFFEL, D.O.
Internal Medicine (license number reported to NPPES: DE C2-0011017)
Registered at 5413 W CEDAR LN, SUITE 203 C, BETHESDA, MD 20814 (Tel: 3015304383)
Registered at 5413 W CEDAR LN, SUITE 203 C, BETHESDA, MD 20814 (Tel: 3015304383)
Recorded as GARY RAFFEL, D.O.
Internal Medicine (license number reported to NPPES: MD H45839)
Record officially reactivated for active practice on April 10, 2006
NPPES lists this NPI as deactivated as of April 05, 2006; the reason is not published.
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Lewes
- Dr. Sharat Sonati, MD
- Dr. Charles Stanislav, MD
- Dr. Stephen Rualo, MD
- Dr. Omar Mahmoud, MD
- Dr. Jon Wiggins, MD
- Dr. Oluwaseun Adeniyi, MD
Mailing Address
16529 Coastal Hwy
Lewes, DE 199583696
Phone: 3026842000