SHYAM SAMPATH RAGHAVAN M.D.
NPI 1124394572
Pathology - Dermatopathology in Charlottesville, VA

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1215 LEE ST, CHARLOTTESVILLE, VA 22908(888) 882-3990(434) 243-6499 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2023, Aug 2, 2021, Oct 7, 2020 (3 updates tracked since 2020).

About Shyam Sampath Raghavan M.d. NPPES

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

SHYAM SAMPATH RAGHAVAN M.D. (NPI 1124394572) is an individual dermatopathology provider in Charlottesville, Virginia, licensed in Colorado (DR.0070540) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Stanford University School Of Medicine (2012).

NPPES Registry Identity

NPI1124394572
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameSHYAM SAMPATH RAGHAVANCredential: M.D.
Location Address1215 LEE STCharlottesville, VA 22908-2205
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Fax(434) 243-6499
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2012
Enumeration DateMarch 30, 2012
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1124394572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Licenses Licensed in CO · DR.0070540 Licensed in VA · 101269055
Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 101269055 (VA)
Also ListedPlastic SurgeryTaxonomy 208200000X · License A127813 (CA)
1215 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

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

Shyam Sampath Raghavan M.d. 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 ID5294158622
PECOS Enrollment IDI20230824002705
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 7

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
943 services541 patients
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.
445 services127 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.
302 services202 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
94 services41 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
83 services46 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.
52 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Pharmacist
1215 LEE ST, UVA MEDICAL CENTER OUTPATIENT PHARMACY
CHARLOTTESVILLE, VA 22908
Radiology (Diagnostic Radiology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Shyam Raghavan's NPI number?

The NPI number for Shyam Raghavan is 1124394572. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Shyam Raghavan located?

Shyam Raghavan practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (888) 882-3990.

What is Shyam Raghavan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Shyam Raghavan enrolled in Medicare?

Yes. Shyam Raghavan 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 Shyam Raghavan accept?

Health plans from Medica list Shyam Raghavan 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 Shyam Raghavan was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.