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Deactivated NPI 1093773103 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas D Rafferty , MD

Surgery - Vascular Surgery • Elyria, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Rafferty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2006
NPI Deactivation Date April 09, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Rafferty, MD was a registered Surgery - Vascular Surgery practicing in Elyria, OH. Throughout an active medical career spanning 20 years, Dr. Rafferty provided care at the practice location at 125 E BROAD ST until profile deactivation on 2026-04-09.

Historical Medicare Part B clinical services included ultrasound of both sides of head and neck blood flow, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, ultrasound study of arm or leg veins with compression and maneuvers. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

125 E Broad St

Elyria, OH 440356400

Telephone 4403297385
Associated Practice Facility / Clinic
🏢 Om Healthcare Llc Facility NPI 1205838067

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Elyria, OH (250 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow
13 13 $123.85 $38.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
11 11 $50.00 $21.69
93970 Ultrasound study of arm or leg veins with compression and maneuvers
11 11 $100.00 $33.34

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License OH 35046972R

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

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

33 Associated Practitioners
NPI 1023101391

Doctor of Medicine (M.D.)

Dr. Michael Langer , DO

Internal Medicine - Magnetic Resonance Imaging (MRI)

NPI 1043280480

Doctor of Osteopathic Medicine (D.O.)

Audrey Havens , PA-C

Physician Assistant - Medical

NPI 1053885624

Physician Assistant (Certified)

Brenda Life , CNP

Nurse Practitioner - Adult Health

NPI 1073583480

Certified Nurse Practitioner

NPI 1144207143

Doctor of Medicine (M.D.)

NPI 1225131634

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated April 09, 2026

Record deactivated on April 09, 2026

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Updated Practice Location June 23, 2025

Registered at 615 MOUNTAIN SUMMIT RD, TRAVELERS REST, SC 296903902 (Tel: 4402258963)

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Updated Business Mailing Address June 23, 2025

Registered at 615 MOUNTAIN SUMMIT RD, TRAVELERS REST, SC 296903902 (Tel: 4402258963)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2025

Surgery (License #MMD.83947.MD in SC)

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Updated Practice Location June 17, 2019

Registered at 736 HUNT CLUB WAY, AVON LAKE, OH 440124019 (Tel: 4406175884)

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Updated Business Mailing Address June 17, 2019

Registered at 736 HUNT CLUB WAY, AVON LAKE, OH 440124019 (Tel: 4406175884)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 125 E BROAD ST, ELYRIA, OH 440356400 (Tel: 4403297385)

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Updated Business Mailing Address July 08, 2007

Registered at 125 E BROAD ST, ELYRIA, OH 440356400 (Tel: 4403297385)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS RAFFERTY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #35046972R in OH)

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Initial NPI Registration & Enumeration May 01, 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: 1093773103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: July 08, 2007
Deactivation Date: April 09, 2026

Mailing Address

125 E Broad St

Elyria, OH 440356400

Phone: 4403297385

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.