KHALIL A RAFFOUL (M.D.) – Ophthalmology Physician, NPI 1407851736
Ophthalmology Physician
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Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
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Provider Addresses for KHALIL A RAFFOUL (M.D.)
Regency Court, Franklin Park, Toledo, Lucas County, Ohio, 43623, United States
STE 100
TOLEDO, OH 436233074
Phone: (419) 882-0588
Fax: (419) 885-3070
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $616.
Total Amount is formed as General ($616) + Research ($0) + Ownership ($0) = $616.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: ABBVIE INC. ($122).
Total Amount
$616
General + Research + Ownership
Payments
13
Total payment records
General Amount
$616
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $122 |
| Bayer Healthcare Pharmaceuticals Inc. | $120 |
| Corcept Therapeutics | $115 |
| Alcon Vision LLC | $100 |
| Integra LifeSciences Corporation | $88 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101008000178 | I | Ophthalmology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 333 | 271 | $0 |
| 92014 | Established patient complete exam of visual system | 300 | 294 | $0 |
| 92134 | Imaging of retina | 290 | 236 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 192 | 145 | $0 |
| 92133 | Imaging of optic nerve | 96 | 95 | $0 |
Insurance plans in this area (ZIP 43623)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH |
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