Raphael Bollag, MD
NPI 1629463708ActiveIndividual· Emergency Medicine· Bay Shore, NY
Emergency Medicine (MD) with North Shore-Lij Medical PC, practicing in Bay Shore, New York. 528 Medicare patients in 2024, $80,436 paid; nearly all of their 103 Part D prescriptions were generic (90%). Lists North Shore University Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1629463708 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 5, 2015 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 295389 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 528 |
|---|---|
| Services billed | 689 across 48 procedure codes |
| Paid by Medicare | $80,436 |
Part D prescriptions in 2024
| Prescriptions (claims) | 103 · 105 30-day fills |
|---|---|
| Patients | 83 |
| Total drug cost | $2,867 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliations
- North Shore University HospitalManhasset, NY
- Plainview HospitalPlainview, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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