Active NPI 1871561464 Individual Practitioner Female Practitioner

Dr. Janice Rafferty , MD

Colon & Rectal Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Janice Rafferty, MD is a certified Colon & Rectal Surgery practicing in Cincinnati, OH. With approximately 38 years of clinical experience since graduating from Ohio State University College Of Medicine in 1988, Dr. Rafferty delivers high-quality medical care to the local community at 2123 AUBURN AVE.

Dr. Rafferty is affiliated with Christ Hospital Medical Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic examination of rectum and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2123 Auburn Ave
Ste. 524

Cincinnati, OH 452192906

Telephone 5139290104

Fax 5139294369

Associated Practice Facility / Clinic

🏢 Mt Auburn Obstetrics & Gynecologic Assoc Inc Facility NPI 1033104310

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +18.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Cincinnati, OH (124 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafferty (38 Years) 38 Yrs

Cincinnati Specialty Average (19.6 Years) 19.6 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	58	42	$146.10	$84.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$321.00	$154.76
45300 Diagnostic examination of rectum and large bowel using an endoscope	33	30	$238.00	$117.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$209.00	$105.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$88.00	$53.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$407.00	$208.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$211.00	$120.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$401.00	$164.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	47	$145.00	$85.49
45300 Diagnostic examination of rectum and large bowel using an endoscope	35	34	$238.00	$114.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$321.00	$161.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$209.00	$108.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$407.00	$213.97
15860 Injection of agent into vein to assess blood flow of skin graft or flap	17	17	$215.00	$52.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$88.00	$54.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$211.00	$123.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$401.00	$170.70
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$3716.00	$1797.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	58	$145.00	$87.35
45300 Diagnostic examination of rectum and large bowel using an endoscope	50	45	$238.00	$120.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$321.00	$163.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	26	$88.00	$54.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$209.00	$107.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$407.00	$206.09
15860 Injection of agent into vein to assess blood flow of skin graft or flap	15	15	$215.00	$53.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$211.00	$124.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	53	$171.40	$89.48
45300 Diagnostic examination of rectum and large bowel using an endoscope	34	26	$352.53	$128.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$497.94	$218.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$345.91	$178.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$254.56	$121.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$501.00	$187.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$102.17	$54.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$392.82	$165.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	46	$175.00	$73.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$504.00	$205.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$262.00	$105.75
45300 Diagnostic examination of rectum and large bowel using an endoscope	27	23	$356.00	$119.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$105.00	$44.18
99442 Telephone medical discussion with physician, 11-20 minutes	19	15	$183.00	$73.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$400.00	$162.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$352.00	$143.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$260.00	$106.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	56	$175.00	$70.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	30	$105.00	$43.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$262.00	$105.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$400.00	$160.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$260.00	$105.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$175.00	$68.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$260.00	$103.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$105.00	$41.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$262.00	$103.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$400.00	$158.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$504.00	$200.25
15860 Injection of agent into vein to assess blood flow of skin graft or flap	12	12	$335.00	$63.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	42	$175.00	$68.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$260.00	$101.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$504.00	$199.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$352.00	$135.04
45300 Diagnostic examination of rectum and large bowel using an endoscope	20	17	$356.00	$108.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$105.00	$41.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$400.00	$157.76
46600 Diagnostic examination of the anus using an endoscope	12	11	$254.00	$83.95

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License OH 35-059681

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0781159 (OH)

Hospital & Practice Group Affiliations

Christ Hospital Medical Specialists Llc

2123 Auburn Ave, Cincinnati, OH 452192906

Phone: 5133816161

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Carla Justiniano , MD

Colon & Rectal Surgery

NPI 1073930517

Doctor of Medicine (M.D.)

Amber Frame , CNP

Nurse Practitioner - Family

NPI 1083953210

Certified Nurse Practitioner

Julia Current , CNP

Nurse Practitioner - Family

NPI 1144028457

Certified Nurse Practitioner

Dr. Katelyn Riebesehl , DNP, APRN

Nurse Practitioner - Family

NPI 1194183392

Doctor of Nursing Practice, Advanced Practice Registered Nurse

Dr. Ian Paquette , MD

Colon & Rectal Surgery

NPI 1356423859

Doctor of Medicine (M.D.)

Dr. Martha Ferguson , MD

Colon & Rectal Surgery

NPI 1447208392

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 22, 2018

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855506)

✅

NPI Profile Active February 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2010

Registered at 2123 AUBURN AVE, STE. 524, CINCINNATI, OH 452192906 (Tel: 5139290104)

📍

Updated Business Mailing Address February 04, 2010

Registered at 2830 VICTORY PKWY, STE. 320, CINCINNATI, OH 452061785 (Tel: 5132453335)

👤

Provider Name / Credentials Updated February 04, 2010

Recorded as JANICE RAFFERTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2010

Colon & Rectal Surgery (License #35-059681 in OH)

🟢

Initial NPI Registration & Enumeration March 09, 2006

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: 1871561464

Entity Type:

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

Enumeration Date: March 09, 2006

Last Update: February 22, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855506

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.