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RAYMOND KENNETH SAULS MD
NPI 1063461408
Internal Medicine in Lancaster, MA

Active since May 10, 2006PECOS Enrolled
136 HIGH STREET EXT, LANCASTER, MA 01523(978) 368-1227(978) 368-0507 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raymond Kenneth Sauls Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND KENNETH SAULS MD (NPI 1063461408) is an individual internal medicine provider in Lancaster, Massachusetts, licensed in Massachusetts (76468) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1063461408
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAYMOND KENNETH SAULSCredential: MD
Location Address136 HIGH STREET EXTLancaster, MA 01523-2056
Mailing Address382 Foster RdAshby, MA 01431-1936 · (978) 368-1227 · Fax (978) 368-0507
Phone(978) 368-1227
Fax(978) 368-0507
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 1, 2012
✔ NPI 1063461408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 76468
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
136 HIGH STREET EXT, Lancaster, MA 01523
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Other Identifiers 2

Medicare ID-Type Unspecified3094774
Medicare UPINF28261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond Kenneth Sauls Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668410820
PECOS Enrollment IDI20050419001232
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raymond Sauls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christopher I. Bechara, MD, PC
Same address
Family Medicine
136 HIGH STREET EXT
Lancaster, MA 01523
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1114043809 (978) 368-8956

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
271 services143 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
55%88 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
28%2,823 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patients 1: 100% · 5,484 patients
100%5,482 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
13%76 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%1,004 patients1/55-star benchmark: 97%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
Patients 1: 78% · 1,007 patients
78%1,007 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 4% · 300 patients
10%300 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers61 claims117 services$5.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims18 services$1.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN ANN COTELESO N.P.
Nurse Practitioner
136 HIGH STREET EXT
LANCASTER, MA 01523
Worcester County (978) 368-8956
CHRISTOPHER I. BECHARA, MD, PC
Family Medicine
136 HIGH STREET EXT
LANCASTER, MA 01523
Worcester County (978) 368-8956
ALLAN A RAMEY M.D.
Internal Medicine (Rheumatology)
136 HIGH STREET EXT
LANCASTER, MA 01523
Worcester County (978) 365-7418
LANCASTER DENTAL
Dentist (General Practice)
136 HIGH STREET EXT
LANCASTER, MA 01523
Worcester County (978) 365-9497
DR. MADHURI KAVI DMD
Dentist
136 HIGH STREET EXT, SUITE 500 AND 700
LANCASTER, MA 01523
Worcester County (978) 365-9497
CHRISTOPHER I. BECHARA M.D.
Family Medicine
136 HIGH STREET EXT
LANCASTER, MA 01523
Worcester County (978) 368-8956

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 Raymond Sauls's NPI number?

The NPI number for Raymond Sauls is 1063461408. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Raymond Sauls located?

Raymond Sauls practices at 136 High Street Ext, Lancaster, MA 01523. The listed phone number is (978) 368-1227.

What is Raymond Sauls's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raymond Sauls enrolled in Medicare?

Yes. Raymond Sauls is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raymond Sauls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Sauls reassigns Medicare benefits to Christopher I. Bechara, MD, PC (Lancaster, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raymond Sauls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Sauls accept?

Health plans from Anthem Blue Cross and Blue Shield list Raymond Sauls 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 Raymond Sauls affiliated with any hospitals?

According to CMS data, Raymond Sauls is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Raymond Sauls was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.