John Raffensperger
NPI 1396710869 · Specialist · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Raffensperger is a Specialist provider in Pittsburgh, PA (NPI 1396710869).
Provider details
- NPI number
- 1396710869
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- MD038748E (PA)
Specialties & taxonomies
Other Service Providers
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
840 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 Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 323 | $113 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 130 | $172 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 91 | $16 |
| Critical Care, First 30-74 Minutes99291 | 84 | $203 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 56 | $165 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 305 | 65 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 215 | 93 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 74 | 23 |
| Fluticasone Propionate | 52 | 18 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 47 | — |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 46 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$120 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
- 2006-02-20
- Last updated
- 2021-03-25
Frequently asked questions
- What is John Raffensperger's NPI number?
- John Raffensperger's National Provider Identifier (NPI) is 1396710869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Raffensperger's specialty?
- John Raffensperger is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is John Raffensperger located?
- John Raffensperger's practice location on file with NPPES is 200 Delafield Rd, Pittsburgh, PA 15215-3205.
- What is John Raffensperger's phone number?
- The practice phone number listed in the NPPES registry for John Raffensperger is (412) 782-5529.
- Does John Raffensperger accept Medicare?
- John Raffensperger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Raffensperger's NPI active?
- Yes — John Raffensperger's NPI (1396710869) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.