Donald Ratchford, MD
NPI 1134125792 · Family Medicine Physician · Cresson, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Ratchford, MD is a Family Medicine Physician provider in Cresson, PA (NPI 1134125792).
Provider details
- NPI number
- 1134125792
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD059696L (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
21 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
172 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 63 | $38 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 40 | $172 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 35 | $119 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 34 | $56 |
Typical Medicare-allowed amounts for these services range $38–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 310 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,481 | 267 |
| Apixabanbrand: Eliquis | 1,097 | 130 |
| Furosemide | 1,048 | 194 |
| Levothyroxine Sodium | 1,029 | 169 |
| Pantoprazole Sodium | 807 | 163 |
| Gabapentin | 775 | 134 |
| Amlodipine Besylate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$79 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
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2014-10-20
Frequently asked questions
- What is Donald Ratchford's NPI number?
- Donald Ratchford's National Provider Identifier (NPI) is 1134125792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Ratchford's specialty?
- Donald Ratchford is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Donald Ratchford located?
- Donald Ratchford's practice location on file with NPPES is 815 2nd St, Cresson, PA 16630-1141.
- What is Donald Ratchford's phone number?
- The practice phone number listed in the NPPES registry for Donald Ratchford is (814) 886-2911.
- Does Donald Ratchford accept Medicare?
- Donald Ratchford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Ratchford's NPI active?
- Yes — Donald Ratchford's NPI (1134125792) is active in the NPPES registry as of the last update on 2014-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.