Dr. Rafael A. Amaral, MD

  • Darby, PA
  • Gastroenterologist
NPI1295719060PAC ID7618924390
Medicare services, 2024
821
Medicare patients, 2024
334
Part D claims, 2024
847
Publications
3
Hospital affiliations
2
Practice address
1500 Lansdowne Ave, Darby, PA 19023
Practice phone
Call (215) 237-4000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Mercy Fitzgerald Hospital

Hospital · Darby, Pennsylvania

See all 8 affiliations

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Dr. Rafael A. Amaral is a gastroenterologist in Darby, Pennsylvania

Dr. Amaral practices at Mercy Fitzgerald Hospital in Darby, Pennsylvania, part of Trinity Health.

Dr. Amaral's NPI, 1295719060, was assigned on December 5, 2005. Dr. Amaral graduated from Ponce Health Sciences University School of Medicine in 1987. Dr. Amaral holds Pennsylvania license MD044931E.

NPI and contact details
Medicare PAC ID
7618924390
NPI enumeration date
December 5, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(215) 237-4000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
65
Medical school graduation
1987

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Rafael A. Amaral practices at Mercy Fitzgerald Hospital in Darby, Pennsylvania

Dr. Amaral's primary practice is Mercy Fitzgerald Hospital, at 1500 Lansdowne Ave, Darby, PA 19023 in Delaware County. The practice phone is (215) 237-4000.

Source: Dmand AI Affiliation Data

Dr. Rafael A. Amaral is affiliated with 5 sites of care and 3 medical groups

Dr. Amaral's primary practice is Mercy Fitzgerald Hospital in Darby, Pennsylvania, part of Trinity Health. Dr. Amaral is also affiliated with Thomas Jefferson University Hospital. The medical group on file is Trinity Health Mid-Atlantic Medical Group. Dmand AI also links Dr. Amaral to 3 more group practices and clinics and 2 medical groups, each named with a free account.

See all 8 affiliations for Dr. Amaral

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Rafael A. Amaral's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Amaral practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Mercy Fitzgerald HospitalAvailable with a free account
+4 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Rafael A. Amaral is one of 899 gastroenterologists in Pennsylvania

Gastroenterology is Dr. Amaral's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Amaral is board certified in gastroenterology by the American Board of Internal Medicine. Dr. Amaral is licensed in Pennsylvania.

Specialties and state licenses

  • Gastroenterology, PennsylvaniaPrimaryLicense MD044931E · 1989 to 2026 · taxonomy 207RG0100X

Clinical focus

Dmand AI lists acid reflux, chronic inflammatory bowel disease (IBD), colonoscopy, gastroduodenitis, gastrointestinal bleeding, hemorrhoids, irritable bowel syndrome (IBS) and upper GI endoscopy among the conditions Dr. Amaral treats.

Gastroenterologists near Dr. Amaral

Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Rafael A. Amaral billed Medicare for 821 services in 2024

CMS data shows 821 Medicare services from Dr. Amaral across 11 procedure codes in 2024, for 334 Medicare patients. Medicare paid $74,691 for them.

Medicare services, 2024821
Medicare patients334
Paid by Medicare$74,691
Procedure codes11

Dr. Amaral's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5032024: 5418%
Surgery
2023: 1912024: 28047%

Where Dr. Amaral's Medicare services took place, 2024

  • In an office24730%
  • In a facility57470%

Dr. Amaral compared with the Pennsylvania median for gastroenterologists, 2024

  • Dr. Amaral
  • Pennsylvania median
Medicare services
821vs 4012.0 times
Medicare patients
334vs 29414% above
Part D claims
700vs 37587% above

Medians across 899 gastroenterologists in Pennsylvania with Dmand AI profiles that report each measure.

Dr. Amaral's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Amaral

Need commercial claims for Dr. Amaral?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Amaral and other gastroenterologists in Pennsylvania.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Rafael A. Amaral treated 334 Medicare patients in 2024, average age 72

CMS counts 334 Medicare patients who saw Dr. Amaral in 2024. The largest group is 65 to 74, with 172 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 48% are also on Medicaid. Their average risk score is 2.16, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Amaral's median patient age at 68, with 52% women.

Medicare patients, 2024334
Average age72
Average risk score2.16
Also on Medicaid48%

Dr. Amaral's Medicare patients by age, 2024

Dr. Amaral's Medicare patients by sex, 2024

  • Women19257%
  • Men14243%

Chronic conditions among Dr. Amaral's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes48%
  4. Arthritis43%
  5. Ischemic heart disease40%
  6. Mood disorders34%
  7. Chronic kidney disease33%
  8. COPD30%

Share of Medicare patients with each condition. A patient can have several.

Dr. Amaral's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women52%
  • Men48%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Rafael A. Amaral wrote 847 Medicare Part D claims in 2024

In 2024, Dr. Amaral wrote 847 Medicare Part D claims for 313 patients. 73% of them were for generic drugs. CMS names the drug for 700 of them, across 12 drugs with 11 or more claims each, at $186,193 in total drug cost. In 2023, CMS named 920 claims across 17 drugs.

Part D claims, 2024847
Drugs named by CMS12
Total drug cost$186,193
Part D patients313

Dr. Amaral's Part D claims by kind of drug, 2024

  • Generic622 claims73%
  • Brand-name225 claims27%

Dr. Amaral's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Amaral's Part D claims, 2024

  • Antibiotics2%18 of 847 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 9202024: 70024%

Drugs named by CMS: 12 in 2024, 17 in 2023.

See all prescribing by Dr. Amaral

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Rafael A. Amaral ranks in the 97th percentile for colonoscopy in Medicare

Dr. Amaral accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 287 procedures of colonoscopy by Dr. Amaral, more than 97% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Amaral ranks in Medicare procedure volume

Colonoscopy
97th percentile287 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
79th percentile115 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Rafael A. Amaral has 3 publications on record

Dmand AI links 3 papers to Dr. Amaral in 2021. The most frequent topics are Waste Disposal, Fluid. Dr. Amaral has published most often in Water Sci Technol.

Papers3

Topics Dr. Amaral writes about most

  • Waste Disposal, Fluid

Recent publications by Dr. Amaral

See all 3 publications and co-authors

See who Dr. Amaral researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Amaral works with, so you can find a warm path to the right gastroenterologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Rafael A. Amaral received $46,701 in industry payments from 2016 to 2025

CMS Open Payments shows 940 general payments to Dr. Amaral from 53 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 42% of the total. Allergan Inc. paid the most, $19,910.

General payments to Dr. Amaral by program year, 2016 to 2025

General payments to Dr. Amaral by kind, 2016 to 2025

$46.7Kin total
  • Food and beverage$19,38942%
  • Speaker and faculty fees$16,20035%
  • Consulting fees$8,02117%
  • Travel and lodging$2,9606%
  • Education$1310%

Companies that paid Dr. Amaral the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Amaral

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Rafael A. Amaral has 1 award and honors on record

Dmand AI lists 1 award for Dr. Amaral, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Amaral

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Rafael A. Amaral graduated from Ponce Health Sciences University School of Medicine

Dr. Amaral graduated from Ponce Health Sciences University School of Medicine in 1987.

  1. Medical schoolPonce Health Sciences University School of Medicine
  2. Board certified in gastroenterologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Rafael A. Amaral accepts plans from 15 insurance carriers

Dr. Amaral is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

Plan types Dr. Amaral accepts, by number of carriers

  1. Medicare10
  2. PPO9
  3. HMO7
  4. POS5
  5. EPO4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Rafael A. Amaral's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Rafael A. Amaral

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Rafael A. Amaral's NPI number?

Dr. Rafael A. Amaral's NPI number is 1295719060. It was assigned on December 5, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Rafael A. Amaral?

Dr. Rafael A. Amaral is a gastroenterologist in Darby, Pennsylvania. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Rafael A. Amaral practice?

Dr. Amaral practices at 1500 Lansdowne Ave, Darby, PA 19023. Dr. Amaral's primary practice is Mercy Fitzgerald Hospital in Darby, Pennsylvania, part of Trinity Health. Dmand AI also links Dr. Amaral to 3 group practices and clinics and 2 medical groups.

What is Dr. Rafael A. Amaral's office phone number?

The practice phone on file for Dr. Amaral is (215) 237-4000.

What is Dr. Rafael A. Amaral's medical license number?

Dr. Amaral holds Pennsylvania license MD044931E.

Which hospitals is Dr. Rafael A. Amaral affiliated with?

Dr. Amaral practices at Mercy Fitzgerald Hospital in Darby, Pennsylvania. Dr. Amaral is also affiliated with Thomas Jefferson University Hospital.

What medical group is Dr. Rafael A. Amaral part of?

Dr. Amaral is linked to Trinity Health Mid-Atlantic Medical Group. Dmand AI links Dr. Amaral to 2 more medical groups.

Does Dr. Rafael A. Amaral accept Medicare?

Yes. CMS data shows Dr. Amaral billed Medicare for 821 services in 2024, and Dr. Amaral accepts Medicare assignment.

How many Medicare patients does Dr. Rafael A. Amaral see?

CMS counts 334 Medicare patients who saw Dr. Amaral in 2024, with an average age of 72.

Is Dr. Rafael A. Amaral board certified?

Yes. Dr. Amaral is board certified in gastroenterology by the American Board of Internal Medicine.

Show 7 more questionsShow fewer questions

What services does Dr. Rafael A. Amaral bill to Medicare?

In 2024, Dr. Amaral's most billed Medicare services were office visit, established patient (99214), hospital inpatient care (99232) and hospital inpatient care (99222).

Where did Dr. Rafael A. Amaral go to medical school?

Dr. Amaral graduated from Ponce Health Sciences University School of Medicine in 1987.

What drugs does Dr. Rafael A. Amaral prescribe most?

In 2024 Medicare Part D data, Dr. Amaral's most prescribed drugs by claims were Omeprazole, Linzess and Gavilyte-G.

Has Dr. Rafael A. Amaral received payments from drug or device companies?

CMS Open Payments shows $46,701 in general payments to Dr. Amaral from 53 companies from 2016 to 2025. The largest total came from Allergan Inc.

How long has Dr. Rafael A. Amaral been practicing?

Dr. Amaral graduated from medical school in 1987, 39 years ago.

Does Dr. Rafael A. Amaral do research?

Dmand AI links 3 publications to Dr. Amaral.

What insurance does Dr. Rafael A. Amaral accept?

Dr. Amaral is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

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