DR. SALVATORE DI RAFFAELE PA-C, D.C.
NPI 1154472256
Physician Assistant in Coeur D Alene, ID

Q: What is Salvatore Di Raffaele's NPI number?

The NPI number for Salvatore Di Raffaele is 1154472256. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Salvatore Di Raffaele's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 15, 2007PECOS Enrolled

1090 W PARK PL, COEUR D ALENE, ID 83814(208) 415-0299 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Jun 22, 2023, Jun 1, 2023 (3 updates tracked since 2023).

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About Dr. Salvatore Di Raffaele Pa-c, D.c. NPPES

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

DR. SALVATORE DI RAFFAELE PA-C, D.C. (NPI 1154472256) is an individual physician assistant in Coeur D Alene, Idaho, licensed in Idaho (2005) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1154472256

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDR. SALVATORE DI RAFFAELECredential: PA-C, D.C.

Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299

Phone(208) 415-0299

Sole ProprietorYes

Enumeration DateJanuary 15, 2007

Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1154472256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ID · 2005✔ Licensed in CA · 14822

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2005 (ID)

1090 W PARK PL, Coeur D Alene, ID 83814

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Secondary Practice Location 1

Location 1611 Colorado AveSanta Monica, CA 90401-2507 · Phone (310) 245-3814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Salvatore Di Raffaele Pa-c, D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

80 services70 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

17 services17 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

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