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

Q: 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.

Q: What is Tom Raisanen's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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

Phone(906) 337-6560

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

205 OSCEOLA ST, Laurium, MI 49913

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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

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.

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.

MR. MARK PHILIP BROWN PA-C

Physician Assistant