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ALEXANDER RAINES MD
NPI 1184850539
Surgery in Oklahoma City, OK

Active since May 29, 2009PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
920 SL YOUNG BLVD, WP 2140, OKLAHOMA CITY, OK 73104(405) 271-6308 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander Raines Md NPPES

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

ALEXANDER RAINES MD (NPI 1184850539) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (24557) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2009).

NPPES Registry Identity

NPI1184850539
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALEXANDER RAINESCredential: MD
Location Address920 SL YOUNG BLVD, WP 2140Oklahoma City, OK 73104-5033
Mailing Address920 Sl Young Blvd, Wp 2140Oklahoma City, OK 73104-5033 · (405) 271-6308
Phone(405) 271-6308
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2009
Enumeration DateMay 29, 2009
✔ NPI 1184850539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 24557
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.
920 SL YOUNG BLVD, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Alexander Raines Md 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 ID9537302823
PECOS Enrollment IDI20130906000051
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 11

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.

Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
65 services64 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 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.
35 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services31 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier49 claims694 services$11.21 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier49 claims322 services$318.49 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier49 claims322 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier49 claims322 services$25.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EVELYN LORENTS MD
Radiology (Diagnostic Radiology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
JIMMY ARGO MD
Otolaryngology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5504
MATLOCK JEFFRIES MD
Internal Medicine (Rheumatology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
JUAN CLAROS-SORTO MD
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6308
TARANDEEP GREWAL MD
Psychiatry & Neurology (Psychiatry)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5251
AMBER WEINGARTNER MD
Obstetrics & Gynecology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8787
KATHARINE PENTECOST PA-C
Physician Assistant
920 SL YOUNG BLVD, WP1310
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
KRISTINA BOOTH MS
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5251

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 Alexander Raines's NPI number?

The NPI number for Alexander Raines is 1184850539. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is Alexander Raines located?

Alexander Raines practices at 920 Sl Young Blvd Wp 2140, Oklahoma City, OK 73104. The listed phone number is (405) 271-6308.

What is Alexander Raines's specialty?

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

Is Alexander Raines enrolled in Medicare?

Yes. Alexander Raines 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.

What insurance does Alexander Raines accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Alexander Raines 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 Alexander Raines affiliated with any hospitals?

According to CMS data, Alexander Raines is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Raines was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.