Carla Rafferty, MD
NPI 1578719316 · Family Medicine Physician · Urbana, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carla Rafferty, MD is a Family Medicine Physician provider in Urbana, IL (NPI 1578719316).
Provider details
- NPI number
- 1578719316
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125.055554 (IL)
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
17 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
351 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) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 129 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 92 | $93 |
| 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 | 87 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 23 | $124 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 20 | $139 |
Typical Medicare-allowed amounts for these services range $16–$139 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 76 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 270 | 88 |
| Amlodipine Besylate | 178 | 65 |
| Lisinopril | 166 | 67 |
| Levothyroxine Sodium | 143 | 46 |
| Simvastatin | 120 | 35 |
| Gabapentin | 118 | 35 |
| Rosuvastatin Calcium | 107 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,554 across 8 records (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
- 2008-08-12
- Last updated
- 2014-05-09
Frequently asked questions
- What is Carla Rafferty's NPI number?
- Carla Rafferty's National Provider Identifier (NPI) is 1578719316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carla Rafferty's specialty?
- Carla Rafferty is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carla Rafferty located?
- Carla Rafferty's practice location on file with NPPES is 1818 E Windsor Rd, Urbana, IL 61802-9566.
- What is Carla Rafferty's phone number?
- The practice phone number listed in the NPPES registry for Carla Rafferty is (217) 255-9646.
- Does Carla Rafferty accept Medicare?
- Carla Rafferty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carla Rafferty's NPI active?
- Yes — Carla Rafferty's NPI (1578719316) is active in the NPPES registry as of the last update on 2014-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.