RAUL SEBASTIAN LAINES M.D
NPI 1144512682
Surgery in Columbia, MD

Active since May 03, 2011PECOS Enrolled
86.53/100
CMS Quality Rating
11085 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044(410) 730-1988(410) 367-2249 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Jan 10, 2023, Sep 24, 2021 and 1 more (4 updates tracked since 2017).

About Raul Sebastian Laines M.d NPPES

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

RAUL SEBASTIAN LAINES M.D (NPI 1144512682) is an individual surgery provider in Columbia, Maryland, licensed in Maryland (D0082203) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144512682
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAUL SEBASTIAN LAINESCredential: M.D
Location Address11085 LITTLE PATUXENT PKWYColumbia, MD 21044-2983
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Fax(410) 367-2249
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 3, 2011
Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1144512682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in MD · D0082203 Licensed in KY · 55800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
11085 LITTLE PATUXENT PKWY, Columbia, MD 21044

Secondary Practice Locations 2

Location 1309 11th StCarrollton, KY 41008-1435 · Phone (502) 732-3299 · Fax (502) 732-3213
Location 28600 Old Georgetown RdBethesda, MD 20814-1422 · Phone (301) 896-2578

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 (PECOS)

Raul Sebastian Laines M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113208646
PECOS Enrollment IDI20161221001143, I20230410000573, I20251205001342
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 9

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
91 services53 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
86 services47 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
64 services61 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
31 services30 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

86.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.8
Promoting Interoperability100
Improvement Activities40
Cost80.31

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
11085 LITTLE PATUXENT PKWY, SUITE 004
COLUMBIA, MD 21044
Physical Therapist
11085 LITTLE PATUXENT PKWY, SUITE 207
COLUMBIA, MD 21044
Neurological Surgery
11085 LITTLE PATUXENT PKWY, SUITE LL-007
COLUMBIA, MD 21044
Nurse Practitioner
11085 LITTLE PATUXENT PKWY, 202
COLUMBIA, MD 21044
Psychiatry & Neurology (Neurology)
11085 LITTLE PATUXENT PKWY, SUITE 212
COLUMBIA, MD 21044
Physical Therapist
11085 LITTLE PATUXENT PKWY, PHYSICAL THERAPY PARTNERS, SUITE 207
COLUMBIA, MD 21044
Physician Assistant (Medical)
11085 LITTLE PATUXENT PKWY, STE 103
COLUMBIA, MD 21044
Specialist
11085 LITTLE PATUXENT PKWY, SUITE 101
COLUMBIA, MD 21044

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 Raul Sebastian Laines's NPI number?

The NPI number for Raul Sebastian Laines is 1144512682. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Raul Sebastian Laines located?

Raul Sebastian Laines practices at 11085 Little Patuxent Pkwy, Columbia, MD 21044. The listed phone number is (410) 730-1988.

What is Raul Sebastian Laines's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Raul Sebastian Laines enrolled in Medicare?

Yes. Raul Sebastian Laines is registered in the Medicare PECOS enrollment system.

What insurance does Raul Sebastian Laines accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Raul Sebastian Laines 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 Raul Sebastian Laines affiliated with any hospitals?

According to CMS data, Raul Sebastian Laines is affiliated with Johns Hopkins Hospital, The, Suburban Hospital, Union Hospital Of Cecil County and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Raul Sebastian Laines was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.