Dr. Raphael Flowers , DO
Internal Medicine โข Nyack, NY
160 N Midland Ave
Nyack, NY 109601912
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Raphael Flowers is listed in NPPES under Internal Medicine.
-
NPI assigned on August 3, 2006; this date does not establish years in practice.
-
Published CMS data list 1,527 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 1,093 service units.
- 99239 โ Hospital discharge day management: 301 service units.
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 92 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 5 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 193 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Pantoprazole Sodium โ 42 prescription fills, including refills.
- Prednisone โ 29 prescription fills, including refills.
- Atorvastatin Calcium โ 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 75% of clinicians listed under Internal Medicine in Nyack, NY (2024, 19 clinicians with data). Median for this group: 1,042. Middle half: 423 to 1,501.
More Medicare Part B services than 75% of clinicians listed under Internal Medicine in New York (2024, 6,472 clinicians with data). Median for this group: 549. Middle half: 209 to 1,263.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 1,072 in 2020 to 1,527 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
160 N Midland Ave
Nyack, NY 109601912
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Valley Physician Services Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Philadelphia College Of Osteopathic Medicine
2000
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
482 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 โ by Provider, 2024.
Medicare-allowed amount
About $148,756 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 โ by Provider and Service, 2024.
Paid by Medicare
About $118,741 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 โ by Provider and Service, 2024.
30-day fills
198 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
$10,219 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 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, CMS release of October 2, 2026.
NPI first issued
2006
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, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Flowers 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. Flowers 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 Nyack and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Internal Medicine in Nyack, NY (2024, 19 clinicians with data). Median for this group: 1,042. Middle half: 423 to 1,501.
More Medicare Part B services than 75% of clinicians listed under Internal Medicine in New York (2024, 6,472 clinicians with data). Median for this group: 549. Middle half: 209 to 1,263.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Nyack, NY (2024, 19 clinicians with data). Median for this group: $112,072. Middle half: $47,053 to $150,224.
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in New York (2024, 6,472 clinicians with data). Median for this group: $53,367. Middle half: $19,693 to $112,760.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Internal Medicine in Nyack, NY (2024, 19 clinicians with data). Median for this group: $88,497. Middle half: $37,412 to $119,297.
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in New York (2024, 6,472 clinicians with data). Median for this group: $41,409. Middle half: $14,806 to $88,620.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Internal Medicine in Nyack, NY (2024, 16 clinicians with data). Median for this group: 105. Middle half: 73 to 630.
Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in New York (2024, 7,161 clinicians with data). Median for this group: 1,354. Middle half: 150 to 4,728.
Part D drug cost
Close to the middle for clinicians listed under Internal Medicine in Nyack, NY (2024, 16 clinicians with data). Median for this group: $5,854. Middle half: $466 to $75,848.
A lower Part D drug cost than 70% of clinicians listed under Internal Medicine in New York (2024, 7,161 clinicians with data). Median for this group: $118,708. Middle half: $9,131 to $469,610.
24 active clinicians are listed under Internal Medicine with a practice address in Nyack, NY (12,222 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Nyack
12.5% of these 24 clinicians have the CMS telehealth indicator.
87.5% of these 24 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.
-
Medicare Part B services
Medicare Part B services increased 42% from 1,072 in 2020 to 1,527 in 2024.
- 2020: 1,072
- 2021: 1,370
- 2022: 1,161
- 2023: 1,266
- 2024: 1,527
-
Medicare-allowed amount
Medicare-allowed amount increased 47% from $101,079 in 2020 to $148,756 in 2024.
- 2020: $101,079
- 2021: $133,598
- 2022: $115,189
- 2023: $129,252
- 2024: $148,756
-
Paid by Medicare
Paid by Medicare increased 47% from $80,560 in 2020 to $118,741 in 2024.
- 2020: $80,560
- 2021: $105,750
- 2022: $91,442
- 2023: $102,830
- 2024: $118,741
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 144% from 79 in 2020 to 193 in 2024.
- 2020: 79
- 2021: 219
- 2022: 130
- 2023: 157
- 2024: 193
-
30-day fills
30-day fills increased 150% from 79 in 2020 to 198 in 2024.
- 2020: 79
- 2021: 224
- 2022: 131
- 2023: 160
- 2024: 198
-
Part D drug cost
Part D drug cost increased 909% from $1,013 in 2020 to $10,219 in 2024.
- 2020: $1,013
- 2021: $2,188
- 2022: $9,020
- 2023: $10,407
- 2024: $10,219
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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 |
|---|---|---|---|---|
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
1,093 | 376 | $257.00 | $87.18 |
|
99239
Hospital discharge day management, more than 30 minutes
|
301 | 287 | $383.00 | $125.81 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
92 | 58 | $368.00 | $122.47 |
|
99238
Hospital discharge day management, 30 minutes or less
|
30 | 29 | $261.00 | $91.56 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
11 | 11 | $485.00 | $144.15 |
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 |
|---|---|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 42 | 1,204 | $666.18 | 28 |
| Prednisone | Prednisone | 29 | 329 | $122.06 | 28 |
| Atorvastatin Calcium | Atorvastatin Calcium | 21 | 604 | $320.38 | โ |
| Furosemide | Furosemide | 19 | 544 | $77.73 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 18 | 562 | $210.61 | 18 |
| Eliquis | Apixaban | 15 | 413 | $8,465.53 | 11 |
| Levothyroxine Sodium | Levothyroxine Sodium | 13 | 355 | $83.82 | 12 |
| Amlodipine Besylate | Amlodipine Besylate | 12 | 388 | $60.72 | 11 |
| Spironolactone | Spironolactone | 12 | 420 | $88.70 | 12 |
| Cefuroxime | Cefuroxime Axetil | 12 | 50 | $123.56 | 12 |
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - HOSPITALIST
I20070305000519
NJ
4385690957
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Valley Physician Services Pc
108 Jackson St, Hoboken, NJ 070306101
Phone: 8008255391
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.)
Physician Assistant
Physician Assistant (Certified)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Doctor of Medicine (M.D.), Master of Public Health
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated August 03, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Nyack
- Dr. Ann Kozlik, DO
- Dr. Jenniffer Bulovic, MD, MPH
- Dr. Azfar Chak, MD
- Dr. Boris Melnikau, MD
- Dr. James Kaus, MD
- Dr. Adam Nasan, MD
Mailing Address
651 W Mount Pleasant Ave
Livingston, NJ 070391600
Phone: 9737409396