TOM DAVID RAISANEN M.D.
NPI 1124481544
Dermatology in Laurium, MI

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
205 OSCEOLA ST, LAURIUM, MI 49913(906) 337-6560 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2020, Feb 22, 2017, Apr 2, 2016 (3 updates tracked since 2016).

About Tom David Raisanen M.d. NPPES

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

TOM DAVID RAISANEN M.D. (NPI 1124481544) is an individual dermatology provider in Laurium, Michigan, licensed in Michigan (4301110056) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Aspirus Keweenaw Hospital And Clinics, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124481544
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameTOM DAVID RAISANENCredential: M.D.
Location Address205 OSCEOLA STLaurium, MI 49913-2134
Mailing Address50384 Rocky Shores RdHoughton, MI 49931-9213 · (320) 267-4247
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1124481544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301110056
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
205 OSCEOLA ST, Laurium, MI 49913

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tom David Raisanen 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 ID5799071817
PECOS Enrollment IDI20200723003141
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 Reassignments

4

Medicare enrollment records show Tom Raisanen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
205 OSCEOLA STREET
Laurium, MI 49913
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1326115569 (Michigan)
  • 210 clinicians in this Medicare group
Hospice Care, Community Based
3257 E US HIGHWAY 2
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1497750830 (Michigan)
  • 200 clinicians in this Medicare group
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 244 clinicians in this Medicare group
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 264 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Aspirus Keweenaw Hospital And Clinics

Critical Access Hospitals · Laurium, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231319
Location205 OsceolaLaurium, MI 49913 · Houghton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49913 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Physician Assistant
205 OSCEOLA ST
LAURIUM, MI 49913
Nurse Practitioner (Family)
205 OSCEOLA ST
LAURIUM, MI 49913
Radiology (Diagnostic Radiology)
205 OSCEOLA ST
LAURIUM, MI 49913
Obstetrics & Gynecology (Reproductive Endocrinology)
205 OSCEOLA ST
LAURIUM, MI 49913
Nurse Anesthetist, Certified Registered
205 OSCEOLA ST
LAURIUM, MI 49913
Internal Medicine (Sleep Medicine)
205 OSCEOLA ST
LAURIUM, MI 49913
Dietitian, Registered
205 OSCEOLA ST
LAURIUM, MI 49913
Family Medicine
205 OSCEOLA ST
LAURIUM, MI 49913

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 Tom Raisanen's NPI number?

The NPI number for Tom Raisanen is 1124481544. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Tom Raisanen located?

Tom Raisanen practices at 205 Osceola St, Laurium, MI 49913. The listed phone number is (906) 337-6560.

What is Tom Raisanen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Tom Raisanen enrolled in Medicare?

Yes. Tom Raisanen 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.

Which organizations bill Medicare for Tom Raisanen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tom Raisanen reassigns Medicare benefits to 4 organizations: Aspirus Keweenaw (Laurium, MI), Aspirus Iron River Hospital & Clinics, Inc. (Iron River, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI) and Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI). Each 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 Tom Raisanen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tom Raisanen accept?

Health plans from Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Security Health Plan list Tom Raisanen 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 Tom Raisanen affiliated with any hospitals?

According to CMS data, Tom Raisanen is affiliated with Aspirus Keweenaw Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Tom Raisanen was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.