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Dr. Raphael Simha Orenstein, MD

Accepting New Patients
(Dr. Raphael S. Orenstein, M.D.)

(No ratings)

Specializes in: Orthopedics/Orthopedic Surgery and Physiatry (Physical Medicine & Rehabilitation)
Emory University School of Medicine
Professional interests include: musculoskeletal problems, balance disorders (vestibular disorders), spinal injection, and more.
3643 N Roxboro Street
Durham, NC 27704

Dr. Raphael Simha Orenstein, MD is an orthopedist in Durham, NC specializing in orthopedics/orthopedic surgery and physiatry (physical medicine & rehabilitation). He graduated from Emory University School of Medicine. Dr. Raphael Simha Orenstein, MD is affiliated with UNC Health, Duke Health and UNC Health Alliance.

View Doctor's Full Profile (919) 470-4000

Office Locations

120 William Penn Plaza
Durham, NC 27704
open_in_new
3000 New Bern Avenue
Raleigh, NC 27610
(919) 350-8779
open_in_new
3643 N Roxboro Street
Durham, NC 27704
(919) 470-4000
open_in_new

Some issues Dr. Raphael Simha 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 Simha Orenstein, MD in 2024

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 2024, Dr. Raphael Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2012 were hospital care, inpatient care, diagnostic procedures and injections.

Volume of procedures performed by Dr. Raphael Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2013 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Raphael Simha 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 Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2014 were hospital care, inpatient care, injections and spinal procedures.

Volume of procedures performed by Dr. Raphael Simha 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 Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2015 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Raphael Simha 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 Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2016 were hospital care, inpatient care, injections and pain management.

Volume of procedures performed by Dr. Raphael Simha 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 Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2017 were hospital care, inpatient care, injections and spinal procedures.

Volume of procedures performed by Dr. Raphael Simha 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 Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2018 were hospital care and inpatient care.

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

hospital care 422
inpatient care 422

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2019 were hospital care and inpatient care.

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

hospital care 495
inpatient care 495

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2020 were hospital care and inpatient care.

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

hospital care 344
inpatient care 344

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2021 were hospital care and inpatient care.

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

hospital care 764
inpatient care 764

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael Simha 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 Simha 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 Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2022 were hospital care and inpatient care.

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

hospital care 544
inpatient care 544

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael Simha 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 Simha 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

2023 Medicare Procedure Volume

The top procedures that Dr. Raphael Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2023 were hospital care and inpatient care.

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

hospital care 513
inpatient care 513

2023 Medicare Patient Data

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

Gender
Male 127
Female 102
Ethnicity
Non-Hispanic White 178
Black 31
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 83
From 75 to 84 88
85 and over 38
Less than 65 20

Conditions of Medicare patients treated by Dr. Raphael Simha Orenstein, MD in 2023

Hypertension 75
High Cholesterol 75
Stroke 40
Ischemic Heart Disease 53
Depression 42
Chronic Kidney Disease 45
Asthma 13
Osteoperosis 19
Atrial Fibrilation 40
Heart Failure 37
Chronic Obstructive Pulmonary Disease 28
Diabetes 48
Dementia 21
Cancer 17

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Raphael Simha Orenstein, MD treated as an orthopedist in Durham, NC during 2024 were hospital care and inpatient care.

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

hospital care 306
inpatient care 306

2024 Medicare Patient Data

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

Gender
Male 99
Female 96
Ethnicity
Non-Hispanic White 150
Black 23
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 63
From 75 to 84 84
85 and over 32
Less than 65 16

Conditions of Medicare patients treated by Dr. Raphael Simha Orenstein, MD in 2024

Hypertension 75
High Cholesterol 75
Stroke 46
Ischemic Heart Disease 44
Depression 45
Chronic Kidney Disease 45
Asthma 12
Osteoperosis 26
Atrial Fibrilation 39
Heart Failure 38
Chronic Obstructive Pulmonary Disease 24
Diabetes 49
Dementia 19
Cancer 21

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

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

The highest averages for the top procedures that Dr. Raphael Simha Orenstein, MD treated as an orthopedist 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 1073
injections 229
inpatient care 1073
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 - 2024

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

Gender
Male 182
Female 214
Ethnicity
Black / African American 87
Asian / Pacific Islander 0
Non-Hispanic White 287
Native American / Alaskan Native 0
Hispanic 0
Other 0
Age
75 to 84 110
85 and over 46
Less than 65 83
65 to 74 156

Average of Total of Conditions of Medicare patients treated by Dr. Raphael Simha Orenstein, MD From 2012 - 2024

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

Hypertension 69
High Cholesterol 62
Stroke 29
Ischemic Heart Disease 41
Depression 36
Chronic Kidney Disease 43
Asthma 11
Osteoporosis 12
Heart Failure 28
Chronic Obstructive Pulmonary Disease 18
Diabetes 41
Atrial Fibrillation 21
Dementia 16
Cancer 12

Education & Training

Dr. Raphael Simha Orenstein, MD graduated from Emory University School of Medicine. 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

Residency: Jefferson University Hospitals (1996)

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

Licensed In: North Carolina

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General Payments

These charts describe general payments received by Dr. Raphael Simha 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 is a physiatry (physical medicine & rehabilitation) and orthopedics/orthopedic surgery specialist in Durham, NC and Raleigh, NC. After attending Emory University School of Medicine, he completed his residency training at Jefferson University Hospitals. Clinical interests for Dr. Orenstein include spinal injection, balance disorders (vestibular disorders), and osteoporosis. He is professionally affiliated with Duke Health and UNC Health. UNC Health reports that Dr. Orenstein is accepting new patients at his office in RALEIGH, NC.

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