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MARCUS JOSEPH RAFFUEL DDS
NPI 1063615524
Dentist - General Practice in Ballston Spa, NY

Active since June 11, 2007PECOS Enrolled
424 GEYSER RD, BALLSTON SPA, NY 12020(518) 885-1095(518) 885-1137 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marcus Joseph Raffuel Dds NPPES

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

MARCUS JOSEPH RAFFUEL DDS (NPI 1063615524) is an individual general practice provider in Ballston Spa, New York, licensed in New York (NY0459931) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063615524
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARCUS JOSEPH RAFFUELCredential: DDS
Location Address424 GEYSER RDBallston Spa, NY 12020
Mailing Address424 Geyser RdBallston Spa, NY 12020 · (518) 885-1095 · Fax (518) 885-1137
Phone(518) 885-1095
Fax(518) 885-1137
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063615524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · NY0459931
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
424 GEYSER RD, Ballston Spa, NY 12020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcus Joseph Raffuel Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12020 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

W & R GEYSER RD, LLC
Dentist
424 GEYSER RD
BALLSTON SPA, NY 12020
Saratoga County (518) 885-1095

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 Marcus Raffuel's NPI number?

The NPI number for Marcus Raffuel is 1063615524. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Marcus Raffuel located?

Marcus Raffuel practices at 424 Geyser Rd, Ballston Spa, NY 12020. The listed phone number is (518) 885-1095.

What is Marcus Raffuel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Marcus Raffuel enrolled in Medicare?

Yes. Marcus Raffuel is registered in the Medicare PECOS enrollment system.

What insurance does Marcus Raffuel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Marcus Raffuel 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 Marcus Raffuel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.