ERIC RAYBURN – Nurse Practitioner, NPI 1992306781

ERIC RAYBURN is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN673303 (PA). The NPI Number for ERIC RAYBURN is 1992306781

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ERIC RAYBURN
NPI
1992306781
Phone
(215) 349-8310
Address
3400 SPRUCE STREET
Enumeration Date
6 November 2020
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2153498310
Graduation Year
2020 (6 years ago)
PAC ID
2567875461
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20250206001791
Address ID
PA191044238PH3400XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for ERIC RAYBURN

  • 3400 SPRUCE STREET

    DULLES BLDG., SUITE 680

    PHILADELPHIA, PA 19104

    Phone: (215) 349-8310

    Fax: (215) 893-7270

    Type: Mailing

  • 30 GREAT OAK RD

    LEVITTOWN, PA 190573314

    Phone: (215) 595-7154

    Type: Mailing

  • 1600 HADDON AVE

    CAMDEN, NJ 081033101

    Phone: (856) 757-3500

    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: 2025-02-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210114001489ICertified Registered Nurse Anesthetist (Crna)NJTBD
I20250206001791ICertified Registered Nurse Anesthetist (Crna)PATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00537Anesthesia for procedure to assess heart electrical activity1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do I look up ERIC RAYBURN by NPI?
Use NPI 1992306781 when you need to reference ERIC RAYBURN in forms, claims, or directories.
Is ERIC RAYBURN's NPI currently valid?
The extract we use shows ERIC RAYBURN as active.
What does ERIC RAYBURN treat or focus on?
Patients typically see ERIC RAYBURN under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ERIC RAYBURN's primary listing?
We display Philadelphia, Pennsylvania because that is what the record indicates for ERIC RAYBURN.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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