DR. JACK MICHAEL RAISANEN MD
NPI 1083673115
Pathology - Neuropathology in Dallas, TX

Q: What is Jack Raisanen's NPI number?

The NPI number for Jack Raisanen is 1083673115. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Q: What is Jack Raisanen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Q: When was this NPI record last updated?

The NPPES record for Jack Raisanen was last updated on December 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment

74.59/100

CMS Quality Rating

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-1620(214) 648-4080 Get Directions Write a Review

NPPES record last updated: December 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Michael Raisanen Md NPPES

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

DR. JACK MICHAEL RAISANEN MD (NPI 1083673115) is an individual neuropathology provider in Dallas, Texas, licensed in Texas (L1177) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of University Of Michigan Medical School (1986).

NPPES Registry Identity

NPI1083673115

Entity TypeIndividualMale

Primary Taxonomy207ZN0500X

Provider Legal NameDR. JACK MICHAEL RAISANENCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7208

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 648-1620 · Fax (214) 648-4080

Phone(214) 648-1620

Fax(214) 648-4080

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1986

Enumeration DateMarch 18, 2006

Last NPPES UpdateDecember 1, 2007

✔ NPI 1083673115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZN0500X

License✔ Licensed in TX · L1177

Definition

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Other Identifiers 2

Medicare UPINF34544

Medicare ID-Type Unspecified8664K8

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, 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 and accepts Medicare assignment

Dr. Jack Michael Raisanen 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.

PECOS PAC ID7012045040

PECOS Enrollment IDI20100512000188

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.

Areas of Expertise CMS Part B claims 5

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.

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

102 services28 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

67 services29 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

38 services33 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

25 services21 patients

Pathology cytologic examination of specimen during surgery, each additional site 88334

A Pathology Cytologic Examination is a test performed during surgery to examine cells from an additional site in your body. This helps identify any abnormal or diseased cells. It's an important tool in diagnosing and managing various conditions.

22 services20 patients

Hospital Affiliations CMS Care Compare

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

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450044

Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant