DR. PRACHI BALIRAM RAUT (M.B.B.S.) – Clinical Pathology/Laboratory Medicine Physician, NPI 1104113653
Clinical Pathology/Laboratory Medicine Physician
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NPPES metrics only — not quality of care.
518 PATHOLOGY in MN
Provider Addresses for DR. PRACHI BALIRAM RAUT (M.B.B.S.)
420 DELAWARE ST SE
MMC 609; ROOM D185 MAYO
MINNEAPOLIS, MN 554550341
Phone: (612) 624-8133
Fax: (612) 625-3976
Type: Mailing
303 EAGLE HTS
MADISON, WI 537051767
Phone: (608) 829-5485
Type: Mailing
7974 UW HEALTH CT # MC1010
MIDDLETON, WI 535625531
Phone: (608) 829-5485
Type: Mailing
600 HIGHLAND AVE
MADISON, WI 537920341
Phone: (608) 263-8443
Type: Location
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: 2025-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210630000199 | I | Pathology | WI | TBD |
| I20241113003722 | I | Pathology | IL | TBD |
| I20250929002337 | I | Pathology | MO | 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 | 688 | 443 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 178 | 51 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 128 | 96 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 84 | 53 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 37 | 36 | $0 |
Insurance plans in this area (ZIP 55455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MO | |
| P A T H O L O G Y | HI | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Interventional Pain Management, Anesthesiology | NM | |
| Emergency Medicine | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO |
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