SHYAM SAMPATH RAGHAVAN (M.D.) – Dermatopathology (Pathology) Physician, NPI 1124394572
Dermatopathology (Pathology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
264 PATHOLOGY in CO
Provider Addresses for SHYAM SAMPATH RAGHAVAN (M.D.)
12605 E 16th Ave
Aurora, CO 800452545
Phone: (720) 848-0000
Type: Location
1215 LEE ST
CHARLOTTESVILLE, VA 229082205
Phone: (888) 882-3990
Fax: (434) 243-6499
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200701003565 | I | Pathology | VA | TBD |
| I20230824002705 | I | Pathology | CO | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,493 | 886 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 384 | 150 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 290 | 222 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 95 | 62 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 74 | 54 | $0 |
Insurance plans in this area (ZIP 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | CO | |
| Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO |
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