DR. JANICE RAFFERTY (MD) – Colon & Rectal Surgery Physician, NPI 1871561464
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
133 COLORECTAL SURGERY (PROCTOLOGY) in OH
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Provider Addresses for DR. JANICE RAFFERTY (MD)
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 452636256
Phone: (513) 585-5506
Fax: (513) 585-5511
Type: Mailing
2123, Auburn Avenue, Mount Auburn Historic District, Mount Auburn, Cincinnati, Hamilton County, Ohio, 45219, United States
STE. 524
CINCINNATI, OH 452192906
Phone: (513) 929-0104
Fax: (513) 929-4369
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $40,071.
Total Amount is formed as General ($40,071) + Research ($0) + Ownership ($0) = $40,071.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Stryker Corporation ($36,875).
Total Amount
$40,071
General + Research + Ownership
Payments
45
Total payment records
General Amount
$40,071
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $36,875 |
| Intuitive Surgical, Inc. | $3,177 |
| Merck Sharp & Dohme LLC | $18 |
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: 2005-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050913001103 | I | Colorectal Surgery (Proctology) | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 47 | $0 |
| 45300 | Diagnostic exam of rectum and lower large bowel using an endoscope | 35 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | MD | |
| Qualified Audiologist | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| U R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Qualified Audiologist | OH | |
| Nurse Practitioner | OH |
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