Nicholas Rapheal Punch, DO

Critical Care Medicine

Internal Medicine

Nicholas Rapheal Punch is a Critical Care Medicine specialist based in Concord, NC with over 13 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

Also practices: INTERNAL MEDICINE

(704) 403-1311Concord, NC
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Patients across NC can see Nicholas Rapheal Punch, DO in person in Concord or via virtual visit — no travel required. A Philadelphia College of Osteopathic Medicine graduate since 2013, he brings 13+ years of experience. CMS Medicare data shows his patients commonly have hypertension, high cholesterol, and ischemic_heart. CMS MIPS quality score: 78.01/100 (2023).

At a glance

  • Federal MIPS score higher than 10% of MIPS-scored doctors in North Carolina
  • Virtual visits available — no app or travel required
1 of 31 Internal Medicine providers in NCSee all Internal Medicine in Concord13+ years experienceNPI since 2013

Older · 677dNPPES updated 2024-07-15 · verify NPI on CMS · Verify license at North Carolina Medical Board

Contact & Location

Practice Location

920 Church St N, Concord, NC 28025-2927

CMS Clinical Data

How Does This Doctor Compare?

MIPS Score

2023

78.01/100

North Carolina avg: 91.2 · US avg: 83.6

Lower than most doctors nationally(-5.6 pts)

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Medicare Patients

165

Unique beneficiaries

Standard volume

Percentile rankings compared against 1,349 reporting peers in North Carolina.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Ischemic Heart Disease.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

High Cholesterol
Higher than avg (+5%)75%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+5%) — a focus area for this doctor

Ischemic Heart Disease
Higher than avg (+38%)70%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↑ More patients than average (+38%) — a focus area for this doctor

Chronic Kidney Disease
Higher than avg (+33%)63%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↑ More patients than average (+33%) — a focus area for this doctor

Heart Failure
Higher than avg (+41%)63%

The heart cannot pump blood efficiently enough to meet the body's needs

US avg: 22.5%

↑ More patients than average (+41%) — a focus area for this doctor

Diabetes
Higher than avg (+28%)62%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↑ More patients than average (+28%) — a focus area for this doctor

Arthritis
Higher than avg (+4%)53%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↑ More patients than average (+4%) — a focus area for this doctor

Atrial Fibrillation
Higher than avg (+28%)50%

An irregular, often rapid heartbeat that increases the risk of stroke

US avg: 22%

↑ More patients than average (+28%) — a focus area for this doctor

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$84 received from industry

4 transactions reported in 2018 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2018, attributed to Nicholas Rapheal Punch's NPI.

Community Context

Social Vulnerability Index: 0.64 / 1.00

Moderate vulnerability

He practices in a community where the CDC measures social vulnerability across socioeconomic status, household composition, racial/ethnic minority status, and housing/transportation factors. A higher index indicates more residents may face barriers accessing care.

Source: CDC/ATSDR Social Vulnerability Index.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 2013

    Philadelphia College of Osteopathic Medicine

  2. Board certified · Feb 20, 2024

    Self-reported via NPPES

  3. 13 years in practice

    Established

Internal MedicineCritical Care Medicine in ConcordAllopathic & Osteopathic Physicians

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Taxonomy: 207RC0200X

Education & Training

Philadelphia College of Osteopathic Medicine (Class of 2013)

Practice Footprint

Mailing address

Po Box 19305, Charlotte, NC 28219-9305

Differs from practice location

Virtual Critical Care Medicine Care With Nicholas Rapheal Punch

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Nicholas Rapheal Punch for blood pressure monitoring, cholesterol management, follow-up consultations — no travel to Concord required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Nicholas Rapheal Punch

NPI records show Dr. Punch as active with telehealth listed in Concord, NC. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (704) 403-1311.

Verified across 7 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Open Payments 2018 · CMS Physician Comparator · HRSA HPSA · CDC SVI. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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