Active NPI 1396710869 Individual Practitioner Male Practitioner

John Raffensperger

Specialist • Pittsburgh, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

John Raffensperger is a certified Specialist practicing in Pittsburgh, PA. With approximately 41 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1985, John Raffensperger delivers high-quality medical care to the local community at 200 DELAFIELD RD.

John Raffensperger is affiliated with Upmc Community Medicine Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, 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's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Delafield Rd
Suite 2040

Pittsburgh, PA 152153205

Telephone 4127825529

Associated Practice Facility / Clinic

🏢 Oncology Hematology Association Facility NPI 1043274467

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pittsburgh, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +4.4 yrs vs City Avg

City Avg: 36.6 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

851 Specialists

Practicing in Pittsburgh, PA (2255 Statewide)

Telehealth Adoption Rate

13.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raffensperger (41 Years) 41 Yrs

Pittsburgh Specialty Average (36.6 Years) 36.6 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	323	106	$259.00	$112.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	92	$311.38	$171.81
G2211 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's	91	76	$40.86	$15.74
99291 Critical care, first 30-74 minutes	84	42	$663.00	$202.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	50	$500.00	$164.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$443.90	$210.30
99292 Critical care, each additional 30 minutes	34	12	$328.00	$102.44
94060 Test to measure expiratory airflow and volume changes before and after medication administration	26	26	$62.00	$9.64
94729 Test to examine how well the lungs exchange gases	24	23	$26.00	$8.35
94726 Determination of lung volumes using plethysmography	19	19	$39.00	$11.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$229.50	$121.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	299	120	$259.00	$116.68
99291 Critical care, first 30-74 minutes	133	55	$663.00	$209.53
99292 Critical care, each additional 30 minutes	97	36	$328.00	$105.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	61	$300.00	$174.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	48	$500.00	$170.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	39	$222.00	$124.16
94060 Test to measure expiratory airflow and volume changes before and after medication administration	34	34	$62.00	$9.77
94729 Test to examine how well the lungs exchange gases	31	31	$26.00	$8.39
94726 Determination of lung volumes using plethysmography	28	28	$39.00	$11.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$420.00	$214.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	312	113	$259.00	$100.03
99291 Critical care, first 30-74 minutes	118	50	$663.00	$215.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	73	$300.00	$176.62
99292 Critical care, each additional 30 minutes	70	26	$328.00	$108.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$222.00	$126.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$500.00	$194.53
94060 Test to measure expiratory airflow and volume changes before and after medication administration	26	26	$62.00	$10.21
94729 Test to examine how well the lungs exchange gases	24	24	$26.00	$8.85
94726 Determination of lung volumes using plethysmography	21	21	$39.00	$11.93
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	$420.00	$218.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	282	118	$258.93	$102.05
99291 Critical care, first 30-74 minutes	125	53	$664.33	$218.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	77	$300.00	$179.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	81	$222.00	$127.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	55	$500.00	$194.70
94729 Test to examine how well the lungs exchange gases	41	41	$26.00	$8.81
94060 Test to measure expiratory airflow and volume changes before and after medication administration	39	39	$62.00	$10.24
99292 Critical care, each additional 30 minutes	39	22	$328.00	$109.75
94726 Determination of lung volumes using plethysmography	38	38	$39.00	$11.86
94618 Test for exercise-induced lung stress	16	16	$140.00	$33.07
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	14	14	$563.00	$124.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	258	134	$259.00	$104.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	125	104	$296.00	$144.45
99291 Critical care, first 30-74 minutes	93	49	$663.00	$224.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	60	$500.00	$203.44
94729 Test to examine how well the lungs exchange gases	46	46	$26.00	$8.95
94726 Determination of lung volumes using plethysmography	46	46	$39.00	$12.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$220.38	$107.86
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	31	29	$563.00	$124.31
94060 Test to measure expiratory airflow and volume changes before and after medication administration	28	28	$62.00	$12.46
99292 Critical care, each additional 30 minutes	19	16	$328.00	$113.42
94010 Test to measure expiratory airflow and volume	19	19	$93.00	$8.62
94618 Test for exercise-induced lung stress	18	18	$140.00	$33.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	342	168	$259.00	$103.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	136	111	$295.00	$141.91
99291 Critical care, first 30-74 minutes	135	66	$663.00	$222.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	64	$500.00	$201.90
94060 Test to measure expiratory airflow and volume changes before and after medication administration	59	58	$62.00	$13.13
94729 Test to examine how well the lungs exchange gases	59	58	$26.00	$9.23
94726 Determination of lung volumes using plethysmography	59	58	$39.00	$12.43
99292 Critical care, each additional 30 minutes	46	27	$328.00	$112.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$220.00	$106.91
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	24	24	$563.00	$126.99
94618 Test for exercise-induced lung stress	19	18	$140.00	$33.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$420.00	$204.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	410	165	$259.00	$102.69
99291 Critical care, first 30-74 minutes	154	71	$663.00	$220.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	137	103	$278.22	$138.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	63	$500.00	$200.12
99292 Critical care, each additional 30 minutes	46	32	$328.00	$110.56
94726 Determination of lung volumes using plethysmography	31	31	$39.00	$12.23
94060 Test to measure expiratory airflow and volume changes before and after medication administration	31	31	$62.00	$12.91
94729 Test to examine how well the lungs exchange gases	31	31	$26.00	$9.08
94618 Test for exercise-induced lung stress	27	27	$140.00	$33.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$208.16	$104.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	735	249	$259.00	$101.94
99291 Critical care, first 30-74 minutes	196	72	$663.00	$219.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	73	$276.00	$138.84
99292 Critical care, each additional 30 minutes	90	45	$328.00	$110.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	83	$500.00	$198.73
94620 Pulmonary exercise testing	27	25	$281.00	$54.01
94060 Test to measure expiratory airflow and volume changes before and after medication administration	24	24	$62.00	$12.87
94729 Test to examine how well the lungs exchange gases	24	24	$26.00	$9.05
94726 Determination of lung volumes using plethysmography	24	24	$39.00	$12.18
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$62.00	$12.31
94729 Test to examine how well the lungs exchange gases	18	18	$26.00	$8.63
94726 Determination of lung volumes using plethysmography	17	17	$39.00	$11.59
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	15	15	$563.00	$125.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$394.00	$200.61
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	11	11	$518.00	$125.72

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD038748E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Upmc Community Medicine Inc

875 N Hermitage Rd, Hermitage, PA 161483278

Upmc Community Medicine Inc

200 Delafield Rd, Pittsburgh, PA 152153234

Upmc Community Medicine Inc

2 Hot Metal St, Pittsburgh, PA 152032348

Upmc Community Medicine Inc

1800 Union Avenue B, Natrona Heights, PA 150652201

Phone: 7242303295

Upmc Community Medicine Inc

1800 Union Ave, Natrona Heights, PA 150652201

Phone: 7245486260

Practice Associates & Co-Workers

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

3 Associated Practitioners

Mitchell Patti

Specialist

NPI 1144295304

Dr. Christopher Tsai , MD

Specialist

NPI 1639145949

Doctor of Medicine (M.D.)

Craig Viti

Specialist

NPI 1912973256

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated March 25, 2021

Recorded as JOHN RAFFENSPERGER

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 200 DELAFIELD RD, SUITE 2040, PITTSBURGH, PA 152153205 (Tel: 4127825529)

📍

Updated Business Mailing Address July 08, 2007

Registered at 200 DELAFIELD RD, SUITE 2040, PITTSBURGH, PA 152153205 (Tel: 4127825529)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN RAFFENSPERGER, MD

🎓

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

Specialist (License #MD038748E in PA)

🟢

Initial NPI Registration & Enumeration February 20, 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: 1396710869

Entity Type:

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

Enumeration Date: February 20, 2006

Last Update: March 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Delafield Rd, Suite 2040

Pittsburgh, PA 152153205

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

⚠️ Medical Disclaimer

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