MICHAEL ALEXANDER RACHUN MD
NPI 1134656598
Radiology - Diagnostic Radiology in Syracuse, NY


Quality Rating: 89.5 out of 100 score

NPI Status: Active since May 16, 2017

Contact Information

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-5240

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 9
  • Radiology
  • Diagnostic Radiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL RACHUN

This page provides the complete NPI Profile along with additional information for Michael Rachun, a provider established in Syracuse, New York with a medical specialization in Radiology, focusing in diagnostic radiology and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1134656598 assigned on May 2017. The practitioner's primary taxonomy code is 2085R0202X with license number 317517 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1134656598
Provider Name
MICHAEL ALEXANDER RACHUN MD
Gender
Male
Entity Type
Individual
Location Address
750 E ADAMS ST SYRACUSE, NY 13210
Location Phone
(315) 464-5240
Mailing Address
2344 ROSE HILL RD MARIETTA, NY 13110
Mailing Phone
(607) 793-0145
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
Yes
Enumeration Date
05-16-2017
Last Update Date
08-30-2024
Code Navigator

Location Map

Secondary Locations

  • 1304 Fawcett Ave Ste 100
    Tacoma, WA 98402
    (253) 761-4200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
317517
License State
NY
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

MD61494213 (WA)

Medicare Participation & PECOS Enrollment Status

Michael Rachun is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Michael Rachun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860739463

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220923000980

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.23 for a new patient copayment and $17.14 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 13210 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.57
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $17.14
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 89.5 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 74.02

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Rachun is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST JOSEPH'S HOSPITAL HEALTH CENTER301 PROSPECT AVENUE
SYRACUSE, NY 13203
(315) 448-5111Acute Care Hospitals
UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER750 EAST ADAMS STREET
SYRACUSE, NY 13210
(315) 473-4240Acute Care Hospitals

Reviews for MICHAEL ALEXANDER RACHUN MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134656598
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216412512518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 5 + 1 + 2 + 5 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1134656598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NANCY A. NUSSMEIER M.D.

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. LEONARD S HOJNOWSKI M.D.

Radiology

(Diagnostic Radiology)

750 E ADAMS ST
3RD FLOOR RADIOLOGY
SYRACUSE, NY
ZIP 13210

(315) 464-6672

DR. DAVID H FEIGLIN M.D.

Nuclear Medicine

750 E ADAMS ST
3RD FLOOR RADIOLOGY
SYRACUSE, NY
ZIP 13210

(315) 464-6672

DR. MICHELE LISI M.D.

Radiology

(Diagnostic Radiology)

750 E ADAMS ST
3RD FLOOR RADIOLOGY
SYRACUSE, NY
ZIP 13210

(315) 464-6672

DR. ANDRIJ R WOJTOWYCZ M.D.

Radiology

(Diagnostic Radiology)

750 E ADAMS ST
3RD FLOOR RADIOLOGY
SYRACUSE, NY
ZIP 13210

(315) 464-6672

DALE A PETROFF PA

Physician Assistant

(Medical)

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-5612

DAVID H DUBE MD

Internal Medicine

750 E ADAMS ST
PHYSICAL MEDICINE AND REHABILITATION MSG
SYRACUSE, NY
ZIP 13210

(315) 464-5820

AMY L FRIEDMAN MD

Transplant Surgery

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-7317

DR. SYED T. ALI M.D.

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

MARY A MCGRATH MD

Nuclear Medicine

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-5655

ANTONY EDWIN SHRIMPTON PH.D.

Medical Genetics

(Clinical Molecular Genetics)

750 E ADAMS ST
CLINICAL PATHOLOGY
SYRACUSE, NY
ZIP 13210

(315) 464-6807

DR. CONSTANCE K STEIN PHD

Medical Genetics

(Clinical Cytogenetics)

750 E ADAMS ST
SUNY UPSTATE MEDICAL UNIVERSITY - CLINICAL PATHOLOGY
SYRACUSE, NY
ZIP 13210

(315) 464-6788

DR. RICHARD A BEERS

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. TRACY BUCKINGHAM

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. JESUS CALIMLIM

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. MICHAEL HAUSER

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. WENDY HOWARD

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. MUMTAZ A. KHAN

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. REZA GORJI

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

DR. NADER M ENANY

Anesthesiology

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210

(315) 464-4720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134656598, enumerated as an "individual" on May 16, 2017.

The provider is located at 750 E ADAMS ST SYRACUSE, NY 13210 and the phone number is (315) 464-5240.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Michael Rachun is affiliated with: ST JOSEPH'S HOSPITAL HEALTH CENTER and UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER.