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Dr. Raphael S. Orenstein, MD

Accepting New Patients

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Specializes in: Physiatry (Physical Medicine & Rehabilitation)

Emory University School of Medicine (1992)

Professional interests include: spinal injection, balance disorders (vestibular disorders), musculoskeletal problems, and more.

3643 N Roxboro Street
Durham, NC 27704

(919) 470-4000

Dr. Raphael S. Orenstein, MD is a physiatrist in Durham, NC specializing in physiatry (physical medicine & rehabilitation). He graduated from Emory University School of Medicine in 1992 and has 34 years of experience. Dr. Raphael S. Orenstein, MD is affiliated with UNC Health, Duke Health and UNC Health Alliance.

Office Locations

120 William Penn Plaza
Durham, NC 27704

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Duke Health

3000 New Bern Avenue
Raleigh, NC 27610

(919) 350-8779

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Duke Health

3643 N Roxboro Street
Durham, NC 27704

(919) 470-4000

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Some issues Dr. Raphael S. Orenstein, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Raphael S. Orenstein, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2023, Dr. Raphael S. Orenstein, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within North Carolina. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2012 were hospital care, inpatient care, diagnostic procedures and injections.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

aspiration	17
blood draw	16
diagnostic procedures	317
doctor visit	748
hospital care	2071
injections	221
inpatient care	2071
MRI (magnetic resonance imaging)	12
musculoskeletal imaging	58
nerve block	204
pain management	204
spinal procedures	216
X-rays	58

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2013 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

aspiration	32
diagnostic procedures	43
doctor visit	695
hospital care	2364
injections	280
inpatient care	2364
MRI (magnetic resonance imaging)	15
nerve block	214
pain management	248
spinal procedures	245

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	237
Female	372

**Ethnicity**
Non-Hispanic White	442
Black	156
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	144
85 and over	61
Less than 65	154

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2013

Hypertension	75
High Cholesterol	60
Stroke	17
Ischemic Heart Disease	34
Depression	34
Chronic Kidney Disease	29
Asthma	9
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	14
Diabetes	37
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2014 were hospital care, inpatient care, injections and spinal procedures.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

aspiration	27
diagnostic procedures	35
doctor visit	480
hospital care	1926
injections	223
inpatient care	1926
MRI (magnetic resonance imaging)	16
nerve block	170
pain management	196
spinal procedures	212

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	238
Female	310

**Ethnicity**
Non-Hispanic White	389
Black	148
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	116
85 and over	53
Less than 65	159

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2014

Hypertension	75
High Cholesterol	56
Stroke	14
Ischemic Heart Disease	37
Depression	34
Chronic Kidney Disease	31
Asthma	9
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	19
Chronic Obstructive Pulmonary Disease	14
Diabetes	38
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2015 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

aspiration	31
diagnostic procedures	30
doctor visit	457
hospital care	1725
injections	275
inpatient care	1725
MRI (magnetic resonance imaging)	11
nerve block	204
pain management	244
spinal procedures	235

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	470
Female	658

**Ethnicity**
Non-Hispanic White	798
Black	294
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	460
From 75 to 84	272
85 and over	114
Less than 65	282

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2015

Hypertension	75
High Cholesterol	57
Stroke	18
Ischemic Heart Disease	33
Depression	35
Chronic Kidney Disease	33
Asthma	14
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	21
Chronic Obstructive Pulmonary Disease	16
Diabetes	36
Dementia	9
Cancer	7

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2016 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

aspiration	38
diagnostic procedures	22
doctor visit	473
hospital care	1271
injections	227
inpatient care	1271
MRI (magnetic resonance imaging)	13
nerve block	146
pain management	189
spinal procedures	185

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	211
Female	268

**Ethnicity**
Non-Hispanic White	354
Black	110
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	206
From 75 to 84	107
85 and over	39
Less than 65	127

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2016

Hypertension	75
High Cholesterol	64
Stroke	19
Ischemic Heart Disease	33
Depression	34
Chronic Kidney Disease	43
Asthma	19
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	21
Chronic Obstructive Pulmonary Disease	18
Diabetes	44
Dementia	8
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2017 were hospital care, inpatient care, injections and spinal procedures.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

aspiration	30
doctor visit	444
hospital care	1214
injections	148
inpatient care	1214
MRI (magnetic resonance imaging)	27
nerve block	75
pain management	118
spinal procedures	126

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	205
Female	277

**Ethnicity**
Non-Hispanic White	350
Black	117
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	206
From 75 to 84	112
85 and over	41
Less than 65	123

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2017

Hypertension	75
High Cholesterol	51
Stroke	18
Ischemic Heart Disease	31
Depression	39
Chronic Kidney Disease	39
Asthma	12
Osteoperosis	8
Atrial Fibrilation	14
Heart Failure	24
Chronic Obstructive Pulmonary Disease	14
Diabetes	36
Dementia	12
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

hospital care	422
inpatient care	422

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	151
Female	136

**Ethnicity**
Non-Hispanic White	184
Black	85
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	118
From 75 to 84	78
85 and over	33
Less than 65	58

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	46
Ischemic Heart Disease	51
Depression	42
Chronic Kidney Disease	62
Asthma	9
Osteoperosis	8
Atrial Fibrilation	20
Heart Failure	34
Chronic Obstructive Pulmonary Disease	20
Diabetes	53
Dementia	24
Cancer	16

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

hospital care	495
inpatient care	495

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	173
Female	130

**Ethnicity**
Non-Hispanic White	225
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	111
From 75 to 84	105
85 and over	41
Less than 65	46

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	44
Ischemic Heart Disease	58
Depression	42
Chronic Kidney Disease	65
Asthma	10
Osteoperosis	11
Atrial Fibrilation	26
Heart Failure	40
Chronic Obstructive Pulmonary Disease	24
Diabetes	51
Dementia	31
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

hospital care	344
inpatient care	344

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	101
Female	104

**Ethnicity**
Non-Hispanic White	140
Black	49
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	78
From 75 to 84	63
85 and over	34
Less than 65	30

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	40
Ischemic Heart Disease	49
Depression	47
Chronic Kidney Disease	61
Asthma	11
Osteoperosis	18
Atrial Fibrilation	24
Heart Failure	37
Chronic Obstructive Pulmonary Disease	26
Diabetes	51
Dementia	25
Cancer	16

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

hospital care	764
inpatient care	764

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	213
Female	191

**Ethnicity**
Non-Hispanic White	314
Black	61
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	153
From 75 to 84	148
85 and over	63
Less than 65	40

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	42
Ischemic Heart Disease	56
Depression	39
Chronic Kidney Disease	62
Asthma	9
Osteoperosis	15
Atrial Fibrilation	25
Heart Failure	42
Chronic Obstructive Pulmonary Disease	25
Diabetes	49
Dementia	26
Cancer	17

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

hospital care	544
inpatient care	544

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	147
Female	145

**Ethnicity**
Non-Hispanic White	209
Black	64
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	87
From 75 to 84	118
85 and over	52
Less than 65	35

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	45
Ischemic Heart Disease	54
Depression	43
Chronic Kidney Disease	49
Asthma	17
Osteoperosis	21
Atrial Fibrilation	36
Heart Failure	37
Chronic Obstructive Pulmonary Disease	20
Diabetes	50
Dementia	19
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Raphael S. Orenstein, MD for Medicare patients.

The highest averages for the top procedures that Dr. Raphael S. Orenstein, MD treated as a physiatrist in Durham, NC were hospital care, inpatient care, injections and spinal procedures.

aspiration	29
blood draw	16
diagnostic procedures	89
doctor visit	549
hospital care	1194
injections	229
inpatient care	1194
MRI (magnetic resonance imaging)	15
musculoskeletal imaging	58
nerve block	168
pain management	199
spinal procedures	203
X-rays	58

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Raphael S. Orenstein, MD.

**Gender**
Male	195
Female	235

**Ethnicity**
Black / African American	98
Asian / Pacific Islander	0
Non-Hispanic White	309
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	114
85 and over	48
Less than 65	95
65 to 74	171

Average of Total of Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Raphael S. Orenstein, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	68
High Cholesterol	60
Stroke	27
Ischemic Heart Disease	39
Depression	35
Chronic Kidney Disease	43
Asthma	10
Osteoporosis	10
Heart Failure	26
Chronic Obstructive Pulmonary Disease	17
Diabetes	40
Atrial Fibrillation	17
Dementia	15
Cancer	11

Education & Training

Dr. Raphael S. Orenstein, MD graduated from Emory University School of Medicine in 1992. He completed residency at Jefferson University Hospitals. He is certified by the American Board of Physical Medicine & Rehabilitat, Physical Medicine & Rehabilita and has a state license in North Carolina.

Medical School: Emory University School of Medicine (1992)

Residency: Jefferson University Hospitals (1996)

Board Certification: American Board of Physical Medicine & Rehabilitat, Physical Medicine & Rehabilita

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Raphael S. Orenstein, MD is associated with these hospitals and organizations:

UNC Health

Duke Health

UNC Health Alliance

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Raphael S. Orenstein, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Endo Pharmaceuticals Inc.	$388 OPANA ER $388
Teva Pharmaceuticals USA, Inc.	$105 AMRIX $105
Allergan Inc.	$55 BOTOX $55
Supernus Pharmaceuticals, Inc.	$36 TROKENDI XR $36
XenoPort Inc.	$18 Horizant $18
Other	$38 MYOBLOC $16	LYRICA $12	H-WAVE $10

**Types of Payments**
Education	$383
Food and Beverage	$258

Biography

Dr. Raphael Orenstein's specialty is physiatry (physical medicine & rehabilitation). His clinical interests include spinal injection, balance disorders (vestibular disorders), and osteoporosis. Before completing his residency at Jefferson University Hospitals, Dr. Orenstein attended medical school at Emory University School of Medicine. Dr. Orenstein's hospital/clinic affiliations include Duke Health and UNC Health. Dr. Orenstein welcomes new patients at his office inRALEIGH, NC as reported by UNC Health.

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Dr. Raphael S. Orenstein, MD

Office Locations

Some issues Dr. Raphael S. Orenstein, MD can help you with:

Noteworthy Medicare Patient Procedures Performed by Dr. Raphael S. Orenstein, MD in 2023

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Raphael S. Orenstein, MD From 2012 - 2022

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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