Deactivated NPI 1841275427 Deactivated / Inactive NPI Male Practitioner

Dr. Raffaello Addiego , MD

Ophthalmology • Jackson, MI

⚠️

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. Raffaello Addiego has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2005

NPI Deactivation Date May 03, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Raffaello Addiego, MD was a registered Ophthalmology practicing in Jackson, MI. Throughout an active medical career spanning 18 years, Dr. Addiego provided care at the practice location at 1116 W GANSON ST until profile deactivation on 2023-05-03.

Historical Medicare Part B clinical services included imaging of retina, established patient outpatient office visit, injection, aflibercept, 1 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1116 W Ganson St

Jackson, MI 492024240

Telephone 5177821213

Fax 5177825166

Associated Practice Facility / Clinic

🏢 Tlc Michigan, Llc Facility NPI 1407060874

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jackson, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.2 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Jackson, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	951	533	$100.00	$38.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	748	528	$200.00	$123.33
J0178 Injection, aflibercept, 1 mg	700	125	$1177.71	$878.38
67028 Injection of drug into eye	441	186	$270.39	$119.59
J3590 Unclassified biologics	158	78	$167.09	$74.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$250.00	$162.57
66821 Removal of recurring cataract in lens capsule using a laser	16	13	$665.00	$285.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,345	862	$100.00	$39.09
J0178 Injection, aflibercept, 1 mg	1,746	162	$1189.69	$898.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,632	832	$199.89	$125.57
67028 Injection of drug into eye	1,078	260	$281.63	$124.58
J3590 Unclassified biologics	383	105	$199.82	$90.71
J0179 Injection, brolucizumab-dbll, 1 mg	303	12	$373.60	$292.48
92014 Established patient complete exam of visual system	136	133	$200.00	$120.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$250.00	$164.13
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	33	18	$600.00	$322.52
67210 Laser destruction of retinal growth, 1 or more sessions	31	26	$850.00	$484.48
92235 Exam of retinal blood vessels using a special camera after injection of a dye	28	28	$230.00	$111.68
92083 Exam of visual field with extended testing	21	20	$135.00	$60.40
76512 Ultrasound of eye disease, growth, or structure	19	13	$210.53	$44.44
66821 Removal of recurring cataract in lens capsule using a laser	16	14	$702.50	$314.12
92012 Established patient problem focused exam of visual system	15	14	$135.00	$86.16
67145 Photocoagulation treatment to prevent detachment of retina	13	11	$1352.31	$509.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,698	1,034	$100.00	$39.25
92014 Established patient complete exam of visual system	1,830	1,001	$200.00	$121.73
J0178 Injection, aflibercept, 1 mg	1,687	176	$1190.75	$914.93
67028 Injection of drug into eye	1,126	289	$274.90	$111.16
J0179 Injection, brolucizumab-dbll, 1 mg	768	24	$346.88	$270.71
J3590 Unclassified biologics	332	104	$200.00	$90.45
J2778 Injection, ranibizumab, 0.1 mg	305	16	$478.43	$333.71
92004 New patient complete exam of visual system	56	56	$240.00	$144.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$250.00	$156.38
67210 Laser destruction of retinal growth, 1 or more sessions	42	29	$850.00	$484.24
92201 Extended exam of the back part of the eye with retinal drawing	40	40	$50.00	$24.95
66821 Removal of recurring cataract in lens capsule using a laser	38	34	$691.32	$309.36
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	38	20	$600.00	$314.83
92012 Established patient problem focused exam of visual system	37	32	$135.00	$86.02
92235 Exam of retinal blood vessels using a special camera after injection of a dye	36	36	$230.00	$93.19
67145 Photocoagulation treatment to prevent detachment of retina	31	25	$1231.61	$519.56
92083 Exam of visual field with extended testing	25	23	$125.40	$60.01
92020 Examination of cornea and iris using lens device and slit lamp	21	13	$60.00	$24.40
76512 Ultrasound of eye disease, growth, or structure	20	15	$200.00	$49.50
92250 Photography of the retina	12	12	$165.00	$39.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,918	1,344	$100.00	$39.37
92014 Established patient complete exam of visual system	3,775	1,357	$200.00	$121.69
J0178 Injection, aflibercept, 1 mg	2,310	235	$1198.96	$942.08
67028 Injection of drug into eye	1,510	371	$266.62	$110.03
J3590 Unclassified biologics	501	155	$232.73	$100.01
J2778 Injection, ranibizumab, 0.1 mg	411	24	$480.00	$353.15
92004 New patient complete exam of visual system	74	74	$240.00	$144.99
67210 Laser destruction of retinal growth, 1 or more sessions	58	40	$850.00	$499.43
92235 Exam of retinal blood vessels using a special camera after injection of a dye	52	52	$230.00	$86.49
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	45	19	$661.67	$319.00
92083 Exam of visual field with extended testing	43	41	$127.56	$59.66
92225 Examination of eye by ophthalmoscope with retinal drawing	34	33	$58.24	$33.29
67145 Photocoagulation treatment to prevent detachment of retina	33	29	$886.06	$524.70
76512 Ultrasound of eye disease, growth, or structure	24	13	$200.00	$56.27
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$690.00	$306.35
92012 Established patient problem focused exam of visual system	18	17	$135.00	$85.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$165.00	$91.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,892	1,343	$100.00	$39.47
92014 Established patient complete exam of visual system	3,684	1,333	$200.00	$120.32
J0178 Injection, aflibercept, 1 mg	2,164	232	$1200.00	$952.15
67028 Injection of drug into eye	1,565	388	$262.17	$107.75
J3590 Unclassified biologics	537	177	$200.00	$50.76
J2778 Injection, ranibizumab, 0.1 mg	523	30	$480.00	$370.74
92004 New patient complete exam of visual system	80	80	$240.00	$144.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	58	$165.00	$85.95
92235 Exam of retinal blood vessels using a special camera after injection of a dye	57	56	$230.00	$81.69
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	53	32	$1525.00	$331.14
92083 Exam of visual field with extended testing	48	42	$126.67	$59.49
67210 Laser destruction of retinal growth, 1 or more sessions	43	31	$850.00	$500.69
92012 Established patient problem focused exam of visual system	41	36	$135.00	$82.51
66821 Removal of recurring cataract in lens capsule using a laser	33	29	$708.94	$312.71
67145 Photocoagulation treatment to prevent detachment of retina	32	29	$860.00	$510.15
J9035 Injection, bevacizumab, 10 mg	31	13	$200.00	$47.58
92225 Examination of eye by ophthalmoscope with retinal drawing	23	23	$68.48	$38.84
92020 Examination of cornea and iris using lens device and slit lamp	22	18	$60.00	$25.90
76512 Ultrasound of eye disease, growth, or structure	16	12	$225.00	$79.53
67041 Removal of membrane from the retina	15	15	$2890.00	$1119.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,807	1,434	$100.00	$36.57
92014 Established patient complete exam of visual system	3,774	1,420	$200.00	$111.52
J0178 Injection, aflibercept, 1 mg	2,276	247	$1200.00	$956.07
67028 Injection of drug into eye	1,552	425	$270.04	$102.90
J2778 Injection, ranibizumab, 0.1 mg	616	40	$480.00	$366.89
J3590 Unclassified biologics	529	182	$200.00	$49.23
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	168	16	$250.00	$197.55
92004 New patient complete exam of visual system	154	154	$240.00	$133.65
92225 Examination of eye by ophthalmoscope with retinal drawing	63	63	$72.86	$36.00
92083 Exam of visual field with extended testing	55	48	$132.09	$57.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	35	$165.00	$56.08
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	48	28	$1525.00	$303.47
66821 Removal of recurring cataract in lens capsule using a laser	39	37	$704.74	$291.22
92012 Established patient problem focused exam of visual system	38	33	$135.00	$77.14
92235 Exam of retinal blood vessels using a special camera after injection of a dye	36	36	$230.00	$74.36
76512 Ultrasound of eye disease, growth, or structure	32	18	$206.25	$85.59
67145 Photocoagulation treatment to prevent detachment of retina	28	24	$890.71	$454.40
67041 Removal of membrane from the retina	22	22	$2890.00	$1048.67
92250 Photography of the retina	14	14	$165.00	$54.49
67210 Laser destruction of retinal growth, 1 or more sessions	13	13	$850.00	$470.57

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301059936

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Kevin Vandenbosch , OD

Optometrist

NPI 1215299367

Doctor of Optometry

Dr. Mahmoud El-Yassir , MD

Ophthalmology

NPI 1245590868

Doctor of Medicine (M.D.)

Dr. Paul Ernest , MD

Ophthalmology

NPI 1508861659

Doctor of Medicine (M.D.)

Dr. Kevin Lavery , MD

Ophthalmology

NPI 1629073036

Doctor of Medicine (M.D.)

Dr. Joshua Halm , OD

Optometrist

NPI 1881101582

Doctor of Optometry

Dr. Tiffany Humes , OD

Optometrist

NPI 1922360650

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

⚠️

NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

✅

NPI Profile Active May 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2017

Registered at 1515 LAKE LANSING ROAD, STE. H, LANSING, MI 489123752 (Tel: 5174876511)

📍

Updated Business Mailing Address May 09, 2017

Registered at 850 W NORTH ST, STE. 104, JACKSON, MI 492023196 (Tel: 8778528463)

👤

Provider Name / Credentials Updated May 09, 2017

Recorded as RAFFAELLO ADDIEGO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2017

Ophthalmology (License #4301059936 in MI)

✅

NPI Profile Active October 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2008

Registered at 1116 W GANSON ST, JACKSON, MI 492024240 (Tel: 5177821213)

📍

Updated Business Mailing Address October 23, 2008

Registered at 2723 S STATE ST, SUITE 220, ANN ARBOR, MI 481046188 (Tel: 7347612294)

👤

Provider Name / Credentials Updated October 23, 2008

Recorded as RAFFAELLO ADDIEGO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2008

Ophthalmology (License #4301059936 in MI)

🟢

Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Raffaello Addiego. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841275427

Entity Type:

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

Enumeration Date: December 07, 2005

Last Update: October 23, 2008

Deactivation Date: May 03, 2023

Update or Correct Profile

Mailing Address

2723 S State St, Suite 220

Ann Arbor, MI 481046188

Phone: 7347612294

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.