James Raphael, MD
NPI 1093783581ActiveIndividual· Orthopaedic Surgery· Philadelphia, PA
Orthopaedic Surgery (MD) in Philadelphia, Pennsylvania, trained at State University of Ny Upstate Medical University (class of 1988). Mostly services rather than prescriptions: Medicare paid $41,052 for 161 patients in 2024, with only 34 Part D claims. Depuy Synthes Sales Inc. was the largest of 2 companies reporting payments in 2025, $347.68 in all, mostly food and beverage.
Overview
| NPI | 1093783581 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 9, 2006 |
| Last updated in NPPES | Dec 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | MD049979L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 1,092 across 45 procedure codes |
| Paid by Medicare | $41,052 |
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 48 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $11,849 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Einstein Practice Plan IncElkins Park, PA · 794 clinicians
Hospital affiliations
- Jefferson Abington HospitalAbington, PA
- Jefferson Einstein Philadelphia HospitalPhiladelphia, PA
Industry payments (Open Payments)
- 2025$347.68 · 5 payments from 2 companies
- 2024$243.66 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $332.61 | 4 |
| Trimed, Inc. | $15.07 | 1 |
What the 2025 payments were for
- Food and Beverage$347.68 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other orthopedic surgeons in Philadelphia
- 1003375072
- 1003851817
- 1023377751
- 1033731393
- 1043252042
- 1053639302
- 1063907004
- 1063908291
- 1073889051
- 1083672117
- 1104060086
- 1114183936
All 255 orthopedic surgeons in Philadelphia · All orthopedic surgeons in Pennsylvania