FRANK J RAIA MD
NPI 1043411416
Orthopaedic Surgery - Hand Surgery in Gilbert, AZ
About Frank J Raia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRANK J RAIA MD (NPI 1043411416) is an individual hand surgery provider in Gilbert, Arizona, licensed in Arizona (36916) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Columbia University College Of Physicians And Surgeons (2000).
NPPES Registry Identity
Specialties & Licenses 2
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Secondary Practice Locations 3
Other Identifiers 10
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
Frank J Raia 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 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85297 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Frank Raia's NPI number?
The NPI number for Frank Raia is 1043411416. It was assigned to this individual provider in the NPPES registry on May 31, 2007.
Where is Frank Raia located?
Frank Raia practices at 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297. The listed phone number is (866) 974-2673.
What is Frank Raia's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.
Is Frank Raia enrolled in Medicare?
Yes. Frank Raia 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 Frank Raia accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Frank Raia 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.
When was this NPI record last updated?
The NPPES record for Frank Raia was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
