Raymond Pertusi, DO
NPI 1679536312 · Rheumatology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raymond Pertusi, DO is a Rheumatology Physician provider in Worcester, MA (NPI 1679536312).
Provider details
- NPI number
- 1679536312
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 230937 (MA)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
202 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) |
|---|---|---|
| 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 | 49 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $92 |
| 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 | 36 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $95 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 106 | 28 |
| Methotrexate Sodiumbrand: Methotrexate | 48 | 16 |
| Prednisone | 44 | 15 |
| Allopurinol | 33 | — |
| Duloxetine Hcl | 26 | 12 |
| Etanerceptbrand: Enbrel Sureclick | 18 | — |
| Azathioprine | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$476 across 19 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
- 2006-04-11
- Last updated
- 2010-11-05
Frequently asked questions
- What is Raymond Pertusi's NPI number?
- Raymond Pertusi's National Provider Identifier (NPI) is 1679536312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raymond Pertusi's specialty?
- Raymond Pertusi is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Raymond Pertusi located?
- Raymond Pertusi's practice location on file with NPPES is 119 Belmont St, Worcester, MA 01605-2903.
- What is Raymond Pertusi's phone number?
- The practice phone number listed in the NPPES registry for Raymond Pertusi is (508) 334-5224.
- Does Raymond Pertusi accept Medicare?
- Raymond Pertusi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raymond Pertusi's NPI active?
- Yes — Raymond Pertusi's NPI (1679536312) is active in the NPPES registry as of the last update on 2010-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.