Grace Rathfon, MD
NPI 1043257264 · Diagnostic Radiology Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Rathfon, MD is a Diagnostic Radiology Physician provider in Pittsburgh, PA (NPI 1043257264).
Provider details
- NPI number
- 1043257264
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD428376 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,789 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 483 | $34 |
| Screening 3d Breast Mammography77063 | 448 | $27 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately in Addition to 77065 Or 77066)G0279 | 181 | $27 |
| Diagnostic Mammography of 1 Breast77065 | 118 | $36 |
| Screening Mammography77067 | 108 | $85 |
| Screening 3d Breast Mammography77063 | 105 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 200 Lothrop StPittsburgh, PA 15213-2546Phone: (412) 647-3553Fax: (412) 647-0878
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Frequently asked questions
- What is Grace Rathfon's NPI number?
- Grace Rathfon's National Provider Identifier (NPI) is 1043257264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Rathfon's specialty?
- Grace Rathfon is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Grace Rathfon located?
- Grace Rathfon's practice location on file with NPPES is 320 E North Ave, Pittsburgh, PA 15212-4756.
- What is Grace Rathfon's phone number?
- The practice phone number listed in the NPPES registry for Grace Rathfon is (412) 359-2459.
- Does Grace Rathfon accept Medicare?
- Grace Rathfon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grace Rathfon's NPI active?
- Yes — Grace Rathfon's NPI (1043257264) is active in the NPPES registry as of the last update on 2024-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.