Active NPI 1194175398 Individual Practitioner Male Practitioner

Dr. James Vincent Raccuia , MD

Surgery • Lansing, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Raccuia, MD is a certified Surgery practicing in Lansing, MI. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Raccuia delivers high-quality medical care to the local community at 1200 E MICHIGAN AVE STE 655.

Dr. Raccuia is affiliated with Specialty Physicians Of Blanchard Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 E Michigan Ave Ste 655

Lansing, MI 489121837

Telephone 5172672460

Associated Practice Facility / Clinic

🏢 Michigan State University Facility NPI 1568773919

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lansing, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -8.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

51 Specialists

Practicing in Lansing, MI (1479 Statewide)

Telehealth Adoption Rate

3.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raccuia (10 Years) 10 Yrs

Lansing Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	94	$168.00	$85.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	28	$72.00	$46.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$209.00	$105.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$252.00	$124.00
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$188.00	$75.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$133.00	$74.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$238.00	$120.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1147.00	$228.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$104.00	$52.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$818.00	$165.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	79	$168.00	$85.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	36	$71.88	$48.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$209.00	$105.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$252.00	$125.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$133.00	$76.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$104.00	$53.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$818.00	$171.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1147.00	$242.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	58	$124.00	$87.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$183.00	$108.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	28	$68.00	$37.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	23	$125.00	$69.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$239.00	$131.71
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$176.00	$97.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$73.00	$54.38
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$852.00	$170.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$183.00	$123.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$352.00	$193.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1147.00	$250.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$824.18	$181.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	11	$125.00	$70.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$183.00	$109.66
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$126.00	$70.93
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$176.00	$99.48

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301110299

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Controlled Substance Number

5315077017 (MI)

Hospital & Practice Group Affiliations

Specialty Physicians Of Blanchard Valley Llc

300 W Wallace St, Findlay, OH 458401244

Phone: 4194223812

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Paul Schneider , MD

Surgery

NPI 1013029917

Doctor of Medicine (M.D.)

Dr. Debra Pierce , MD

Surgery

NPI 1013271436

Doctor of Medicine (M.D.)

Charles Thomas , PA

Physician Assistant

NPI 1023115342

Physician Assistant

Dr. James Harkema , MD

Surgery

NPI 1023124542

Doctor of Medicine (M.D.)

Dr. Thomas Murickan , MD

Surgery

NPI 1033560875

Doctor of Medicine (M.D.)

Ashley Day , PA

Physician Assistant

NPI 1043600430

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2016

Registered at 1200 E MICHIGAN AVE STE 655, LANSING, MI 489121837 (Tel: 5172672460)

📍

Updated Business Mailing Address June 17, 2016

Registered at 1200 E MICHIGAN AVE STE 655, LANSING, MI 489121837 (Tel: 5172672460)

👤

Provider Name / Credentials Updated June 17, 2016

Recorded as JAMES RACCUIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2016

Surgery (License #4301110299 in MI)

🟢

Initial NPI Registration & Enumeration June 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194175398

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 17, 2016

Last Update: June 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 E Michigan Ave Ste 655

Lansing, MI 489121837

Phone: 5172672460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.