Medicare Enrolled

Dr. Rafael Amaral, M.D.

Gastroenterology · Darby, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
1501 LANSDOWNE AVE, Darby, PA 19023
6105346270
In practice since 2005 (20 years)
NPI: 1295719060 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. Amaral 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 →
Are you Dr. Amaral? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Amaral

Dr. Rafael Amaral is a gastroenterology specialist in Darby, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Amaral performed 694 Medicare services across 538 unique beneficiaries.

Between the years covered by Open Payments, Dr. Amaral received a total of $27,782 from 55 pharmaceutical and/or device companies across 594 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Amaral 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.

✓ 20 years in practice ▲ Top 30% volume in PA $27,782 industry payments

Medicare Practice Summary

Medicare Utilization ↗
694
Medicare services
Top 30% in PA for gastroenterology
538
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~35 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
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
185 $64 $150
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.
178 $96 $275
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.
60 $125 $360
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.
60 $107 $285
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
53 $66 $795
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
41 $213 $640
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
39 $87 $920
Injection beneath large bowel lining via endoscope
A flexible endoscope is used to inject medication or fluid beneath the lining of the large intestine.
32 $13 $925
Colon polyp removal with endoscope and cautery
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera. Electrical cautery is used to stop bleeding during the removal.
26 $79 $920
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
20 $142 $415
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 ↗
$27,782
Total received (2018-2024)
Avg $3,969/year across 7 years
Top 11% in PA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
594
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11,892 (42.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,469 (41.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,421 (15.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,222
2023
$3,663
2022
$2,753
2021
$2,207
2020
$1,064
2019
$8,162
2018
$6,711

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Olympus Medical Systems Corporation
$840
ABBVIE INC.
$756
Janssen Biotech, Inc.
$278
Phathom Pharmaceuticals, Inc.
$181
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$166
Takeda Pharmaceuticals U.S.A., Inc.
$152
E.R. Squibb & Sons, L.L.C.
$113
Celltrion USA Inc.
$108
Madrigal Pharmaceuticals
$99
Celgene Corporation
$84
Exact Sciences Corporation
$82
AIMMUNE THERAPEUTICS, INC.
$67
Ardelyx, Inc.
$66
QOL Medical, LLC
$54
Digestive Care, Inc.
$46
Cumberland Pharmaceuticals, Inc.
$39
Fresenius Kabi USA, LLC
$36
Siemens Medical Solutions USA, Inc.
$23
Novo Nordisk Inc
$18
Gilead Sciences, Inc.
$14
Top 3 companies account for 58.2% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan Inc.
$11,784
Olympus Corporation
$3,570
ABBVIE INC.
$1,505
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,388
Janssen Biotech, Inc.
$1,065
AbbVie Inc.
$1,006
Takeda Pharmaceuticals U.S.A., Inc.
$979
Olympus Medical Systems Corporation
$840
Olympus Corporation of the Americas
$564
Gilead Sciences, Inc.
$549
Celgene Corporation
$487
AbbVie, Inc.
$427
Cook Medical LLC
$313
Covidien LP
$253
Exact Sciences Corporation
$235
E.R. Squibb & Sons, L.L.C.
$230
Phathom Pharmaceuticals, Inc.
$196
Braintree Laboratories, Inc.
$179
Ironwood Pharmaceuticals, Inc
$165
Ardelyx, Inc.
$151
PFIZER INC.
$147
QOL Medical, LLC
$143
BOSTON SCIENTIFIC CORPORATION
$126
Amgen Inc.
$109
Celltrion USA Inc.
$108
Nestle HealthCare Nutrition Inc.
$107
Madrigal Pharmaceuticals
$99
Merck Sharp & Dohme Corporation
$94
Laborie Medical Technologies Corp.
$92
Janssen Scientific Affairs, LLC
$86
Ferring Pharmaceuticals Inc.
$76
AIMMUNE THERAPEUTICS, INC.
$67
IRONWOOD PHARMACEUTICALS, INC
$57
RedHill Biopharma Inc.
$54
Merck Sharp & Dohme LLC
$46
Digestive Care, Inc.
$46
Janssen Pharmaceuticals, Inc
$45
Novo Nordisk Inc
$41
Cumberland Pharmaceuticals, Inc.
$39
Fresenius Kabi USA, LLC
$36
Shire North American Group Inc
$32
Boston Scientific Corporation
$29
Alfasigma USA, Inc.
$25
Siemens Medical Solutions USA, Inc.
$23
Amarin Pharma Inc.
$21
Cook Incorporated
$19
Regeneron Healthcare Solutions, Inc.
$18
Sandoz Inc.
$18
Evoke Pharma, Inc.
$16
Synergy Pharmaceuticals Inc
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
Hologic, LLC
$13
Lilly USA, LLC
$12
Mylan Pharmaceuticals Inc.
$11
Intercept Pharmaceuticals, Inc.
$11
Top 3 companies account for 60.7% of all-time payments
Associated products mentioned in payments ›
ACUSON Sequoia Diagnostic Ultrasound System · APRISO · Aimovig · Amitiza · Bravo · CIMZIA · CLENPIQ · COOK MEDICAL BILIARY · COOK MEDICAL HEMOSPRAY · CREON · Cologuard Collection Kit · Cook Medical Hemostasis · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · EOHILIA · ERLEADA · EVIS EXERA III VIDEO SYSTEM CENTER · EXALT · Entyvio · GATTEX · GENERAL - ENDOCHOICE · GIMOTI · HEMOSPRAY · HUMIRA · HYRIMOZ · Humira · IBSRELA · IDACIO · Instinct · JARDIANCE · KRISTALOSE · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Motegrity · Novasure · OCALIVA · Olympus EMR & ESD Devices · Orilissa · Ozempic · PLENVU · Pertzye · Prolia · REMICADE · RESMETIROM · RINVOQ · Repatha · SKYRIZI · STELARA · SUCRAID · SUPREP · SUTAB · Single Use Electrosurgical Knife KD-655 · Smart Pill · Sucraid · TREMFYA · TRULANCE · TRULICITY · Talicia · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · Vascepa · XARELTO · XELJANZ · XIFAXAN · XIFAXANIBSD · Xulane · ZENPEP · ZEPOSIA · ZYMFENTRA · Zelnorm
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 →

The majority of payments (43%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware.

Looking for a gastroenterology specialist in Darby?
Compare gastroenterologists in the Darby area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
408
Per 100K population
70.8
County median income
$88,576
Nearest hospital
MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD
0.0 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. Amaral is a clinical cardiology specialist, with above-average Medicare volume (top 30% in PA), with speaking/promotional industry engagement in the top 11% of PA peers, with 20 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. Amaral experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Amaral performed 185 hospital follow-up visit, moderate complexity 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. Amaral receive payments from pharmaceutical companies?
Yes. Dr. Amaral received a total of $27,782 from 55 companies across 594 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. Amaral's costs compare to other gastroenterologists in Darby?
Dr. Amaral's average Medicare payment per service is $92. 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. Amaral) 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.

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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 →