Medicare Enrolled

Dr. Philip Rafiy, MD

Orthopedic Surgery · Hicksville, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
87 W OLD COUNTRY RD, Hicksville, NY 11801
5164331100
In practice since 2006 (19 years)
NPI: 1710089198 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Rafiy from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Rafiy

Dr. Philip Rafiy is an orthopedic surgery specialist in Hicksville, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rafiy performed 1,500 Medicare services across 446 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rafiy received a total of $6,145 from 39 pharmaceutical and/or device companies across 177 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rafiy is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 32% volume in NY $6,145 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,500
Medicare services
Top 32% in NY for orthopedic surgery
446
Unique beneficiaries
$88
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~79 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
711 $110 $224
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
176 $24 $34
Electrical stimulation therapy
Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care.
136 $8 $23
Manual therapy (hands-on treatment), per 15 min 124 $18 $30
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
53 $38 $125
Injection of anesthetic or steroid into sacroiliac joint with imaging guidance
This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection.
50 $176 $495
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
48 $142 $394
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
30 $59 $125
X-ray of middle spine, 2 views
An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints.
28 $32 $125
MRI of lower spine, without contrast
A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine.
24 $170 $950
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
22 $37 $125
MRI of upper spine without contrast
An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine.
22 $150 $950
MRI of middle spinal canal, without contrast
This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye.
19 $120 $1,000
Closed treatment of broken or dislocated spine bone with cast or brace and traction
Non-surgical treatment for a broken or dislocated spine bone using a cast or brace along with traction.
17 $776 $1,411
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
14 $113 $488
Imaging guidance for procedure, 60 minutes or less
Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less.
13 $15 $1,044
Evaluation for physical therapy, typically 30 minutes 13 $63 $80
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,145
Total received (2018-2024)
Avg $878/year across 7 years
Top 42% in NY for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
177
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,145 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$758
2023
$1,720
2022
$939
2021
$434
2020
$402
2019
$1,049
2018
$842

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Baxter Healthcare
$420
Medtronic, Inc.
$170
DJO, LLC
$60
Globus Medical, Inc.
$28
IBSA Pharma Inc.
$23
SPINAL ELEMENTS, INC.
$22
Valinor Pharma, LLC
$20
ERMI Inc.
$15
Top 3 companies account for 85.7% of 2024 payments
All-time payments by company (2018-2024) ›
Baxter Healthcare
$1,360
Globus Medical, Inc.
$1,251
Collegium Pharmaceutical, Inc.
$389
RTI Surgical, Inc.
$293
NuVasive, Inc.
$275
Zimmer Biomet Holdings, Inc.
$200
BAXTER HEALTHCARE
$195
Daiichi Sankyo Inc.
$179
Medtronic, Inc.
$170
DePuy Synthes Sales Inc.
$146
Horizon Therapeutics plc
$136
DJO, LLC
$128
ERMI Inc.
$109
ZIMVIE INC.
$106
Vertical Pharmaceuticals, LLC
$89
Smith & Nephew, Inc.
$80
Horizon Pharma plc
$79
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$78
Sentynl Therapeutics, Inc.
$71
Orthofix Medical, Inc.
$70
Shionogi Inc
$68
IBSA Pharma Inc.
$63
RedHill Biopharma Inc.
$53
Choice Spine, LLC
$52
AstraZeneca Pharmaceuticals LP
$52
4WEB, INC.
$49
PFIZER INC.
$48
Assertio Therapeutics, Inc.
$45
Life Spine, Inc.
$44
Xtant Medical Inc
$40
Egalet US Inc
$35
ASSERTIO THERAPEUTICS, Inc.
$35
SANOFI-AVENTIS U.S. LLC
$31
Purdue Pharma L.P.
$27
Forte Bio-Pharma LLC
$26
SPINAL ELEMENTS, INC.
$22
Smith+Nephew, Inc.
$21
Valinor Pharma, LLC
$20
curasan, Inc.
$12
Top 3 companies account for 48.8% of all-time payments
Associated products mentioned in payments ›
ACTIFUSE · Allograft · Biomet SpinalPak · Biomet SpinalPak / OrthoPak · Biomet SpinalPak Non-invasive Spine Fusion Stimulator System · Blackhawk · CMF · Cambia · Cerasorb Foam · DUEXIS · EXPEDIUM · ExcelsiusGPS Robotic Navigation System · FORTILINK-TS IBF SYSTEM · LORZONE · LYRICA · Levorphanol · Levorphanol Tartrate · Licart · MONOVISC · MOVANTIK · Medical Devices · Morphabond ER · Movantik · NALOCET · NANOSS ABGS FAMILY · ORTHOVISC · PENNSAID · PICO · PICO Single Use Negative Pressure Wound Therapy · PRESTIGE LP CERVICAL DISC SYSTEM · QUARTEX · RELINE · RELISTOR · RELISTOR ORAL · SImpact · SPINE TRUSS SYSTEM · SPRIX · SYMPHONY · SYMPROIC · SYNVISC-ONE · Spinal-Stim · Symproic · Tirosint · VITALITY · XTAMPZA · XTAMPZAER · Xtampza ER · XtampzaER · ZEVO ANTERIOR CERVICAL PLATE SYSTEM · Zipsor
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an orthopedic surgery specialist in Hicksville?
Compare orthopedic surgeons in the Hicksville area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons within 10 mi
775
Per 100K population
55.8
County median income
$143,408
Nearest hospital
CHSLI ST JOSEPH HOSPITAL
2.4 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Rafiy is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Rafiy experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rafiy performed 711 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Rafiy receive payments from pharmaceutical companies?
Yes. Dr. Rafiy received a total of $6,145 from 39 companies across 177 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Rafiy's costs compare to other orthopedic surgeons in Hicksville?
Dr. Rafiy's average Medicare payment per service is $88. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Rafiy) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →