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GINA RAPTOULIS D.O.
NPI 1124323860
Internal Medicine - Rheumatology in Palm Harbor, FL

Active since January 11, 2011PECOS Enrolled
32615 US 19 N, SUITE 2, PALM HARBOR, FL 34684(727) 789-2784(727) 785-3537 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gina Raptoulis D.o. NPPES

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

GINA RAPTOULIS D.O. (NPI 1124323860) is an individual rheumatology provider in Palm Harbor, Florida, licensed in Florida (OS11500) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124323860
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameGINA RAPTOULISCredential: D.O.
Location Address32615 US 19 N, SUITE 2Palm Harbor, FL 34684-3176
Mailing Address32615 Us 19 N, Suite 2Palm Harbor, FL 34684-3176 · (727) 789-2784 · Fax (727) 785-3537
Phone(727) 789-2784
Fax(727) 785-3537
Sole ProprietorYes
Enumeration DateJanuary 11, 2011
Last NPPES UpdateDecember 6, 2016
✔ NPI 1124323860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · OS11500
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
32615 US 19 N, Palm Harbor, FL 34684
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Raptoulis D.o. 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.

Medicare Billing Reassignment

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

Arthritis Center Inc
Same address
Specialist
32615 US HWY 19 N, STE 2
Palm Harbor, FL 34684
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1730259201 (727) 789-2784

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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…
100%131 patients5/55-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.

Other Providers at the Same Location NPPES 3

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

ROGER W. ALTMAN,M.D.PA
Dermatology (MOHS-Micrographic Surgery)
32615 US 19 N, SUITE 1
PALM HARBOR, FL 34684
Pinellas County (727) 785-7667
ALTMAN CHIROPRACTIC CLINIC LLC
Chiropractor
32615 US 19 N, SUITE 1
PALM HARBOR, FL 34684
Pinellas County (727) 785-7667
DR. ZACHARY ALTMAN D.C.
Chiropractor
32615 US 19 N, SUITE 1
PALM HARBOR, FL 34684
Pinellas County (727) 785-7667

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 Gina Raptoulis's NPI number?

The NPI number for Gina Raptoulis is 1124323860. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Gina Raptoulis located?

Gina Raptoulis practices at 32615 Us 19 N Suite 2, Palm Harbor, FL 34684. The listed phone number is (727) 789-2784.

What is Gina Raptoulis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gina Raptoulis enrolled in Medicare?

Yes. Gina Raptoulis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gina Raptoulis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Raptoulis reassigns Medicare benefits to Arthritis Center Inc (Palm Harbor, FL). 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 Gina Raptoulis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Raptoulis accept?

Health plans from Blue Cross Blue Shield of Wyoming list Gina Raptoulis 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 Gina Raptoulis was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.