GRACE Y RATHFON MD
NPI 1043257264
Radiology - Diagnostic Radiology in Pittsburgh, PA
About Grace Y Rathfon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE Y RATHFON MD (NPI 1043257264) is an individual diagnostic radiology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD428376) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in Pittsburgh.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grace Y Rathfon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Vincent Hospital
Acute Care Hospitals · Erie, PAAllegheny General Hospital
Acute Care Hospitals · Pittsburgh, PAWest Penn Hospital
Acute Care Hospitals · Pittsburgh, PAJefferson Hospital
Acute Care Hospitals · Jefferson Hills, PAForbes Hospital
Acute Care Hospitals · Monroeville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grace Rathfon's NPI number?
The NPI number for Grace Rathfon is 1043257264. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Grace Rathfon located?
Grace Rathfon practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-2459.
What is Grace Rathfon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Grace Rathfon enrolled in Medicare?
Yes. Grace Rathfon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Grace Rathfon accept?
Health plans from CareSource list Grace Rathfon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Grace Rathfon affiliated with any hospitals?
According to CMS data, Grace Rathfon is affiliated with Saint Vincent Hospital, Allegheny General Hospital, West Penn Hospital, Jefferson Hospital and Forbes Hospital.
When was this NPI record last updated?
The NPPES record for Grace Rathfon was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
