Medicare Enrolled

Dr. Tal Raphaeli, MD

Colon & Rectal Surgery · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1125 CYPRESS STATION DR STE G-3, Houston, TX 77090
2815831300
Registered in NPPES since 2007
NPI: 1609910009 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. Raphaeli 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. Raphaeli

Dr. Tal Raphaeli is a colon & rectal surgery specialist in Houston, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raphaeli performed 235 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Raphaeli received a total of $8,222 from 15 pharmaceutical and/or device companies across 78 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Raphaeli 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 of NPI registration ▲ 235 Medicare services $8,222 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
235
Medicare services
Bottom 36% in TX for colon & rectal surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.
62 $64 $157
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
60 $69 $225
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.
48 $105 $281
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
33 $81 $290
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
18 $43 $145
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.
14 $96 $269
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,222
Total received (2018-2024)
Avg $1,175/year across 7 years
Top 33% in TX for colon & rectal surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
78
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,364
2023
$409
2022
$471
2021
$89
2020
$167
2019
$1,957
2018
$2,765

Payments by company (2024)

Axonics, Inc.
$1,825
Baxter Healthcare
$208
Medtronic, Inc.
$112
TELA Bio, Inc.
$104
Biosense Webster, Inc.
$66
MIMEDX Group, Inc.
$33
Smith+Nephew, Inc.
$15
Top 3 companies account for 90.8% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$4,606
Axonics, Inc.
$1,862
Medtronic, Inc.
$512
Ethicon US, LLC
$344
TELA Bio, Inc.
$270
Baxter Healthcare
$226
Biosense Webster, Inc.
$129
Medtronic USA, Inc.
$117
MIMEDX Group, Inc.
$33
Innocoll Pharmaceuticals Limited
$29
Davol Inc.
$26
THD America, Inc.
$20
Coloplast Corp
$17
Kerecis Limited
$16
Smith+Nephew, Inc.
$15
Top 3 companies account for 84.9% of all-time payments
Associated products mentioned in payments ›
Axonics · Bulkamid · COLLAGENASE SANTYL · Da Vinci Surgical System · ECHELON ENDOPATH · ENDO GIA ULTRA · Echelon; Endopath · Enseal · Enseal X1 · Harmonic · INTERSTIM · Kerecis Omega3 SurgiClose · No Related Product · OCTARAY MAPPING CATHETER · OviTex 2S · Ovitex · PDS · PERCLOT · Phasix Mesh · SenSura Mio · TISSEEL · XARACOLL
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a colon & rectal surgery specialist in Houston?
Compare colon & rectal surgerists in the Houston area by procedure volume, costs, and industry payment transparency.
Browse colon & rectal surgerists nearby

Geographic Context

Colon & rectal surgerists in nearby ZIP areas
28
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
HCA HOUSTON HEALTHCARE NORTHWEST
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Raphaeli is a clinical cardiology specialist, with moderate Medicare volume, 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. Raphaeli experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Raphaeli performed 62 hospital follow-up visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Raphaeli receive payments from pharmaceutical companies?
Yes. Dr. Raphaeli received a total of $8,222 from 15 companies across 78 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Raphaeli's costs compare to other colon & rectal surgerists in Houston?
Dr. Raphaeli's average Medicare payment per service is $76. 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. Raphaeli) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →