JAMES VINCENT RACCUIA M.D.
NPI 1194175398
Surgery in Lansing, MI

Q: What is James Raccuia's NPI number?

The NPI number for James Raccuia is 1194175398. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is James Raccuia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Raccuia was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 17, 2016PECOS EnrolledAccepts Medicare Assignment

67.77/100

CMS Quality Rating

1200 E MICHIGAN AVE STE 655, LANSING, MI 48912(517) 267-2460 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About James Vincent Raccuia M.d. NPPES

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

JAMES VINCENT RACCUIA M.D. (NPI 1194175398) is an individual surgery provider in Lansing, Michigan, licensed in Michigan (4301110299) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194175398

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES VINCENT RACCUIACredential: M.D.

Location Address1200 E MICHIGAN AVE STE 655Lansing, MI 48912-1837

Mailing Address1200 E Michigan Ave Ste 655Lansing, MI 48912-1837 · (517) 267-2460

Phone(517) 267-2460

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 17, 2016

✔ NPI 1194175398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301110299

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.

1200 E MICHIGAN AVE STE 655, Lansing, MI 48912

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Other Identifiers 1

Other5315077017MI · Controlled Substance Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Vincent Raccuia 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 ID1557765906

PECOS Enrollment IDI20210806000362

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.

Medicare Billing Reassignment

Medicare enrollment records show James Raccuia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialty Physicians Of Blanchard Valley LLC

127 mi

Cardiovascular Disease

1900 S MAIN ST
Findlay, OH 45840

Reassigned Medicare billing, Ohio enrollment
120 clinicians in this Medicare group

NPI 1689835415 (419) 423-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

131 services94 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.

53 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.

41 services41 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services29 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.

17 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361322

Location139 Garau StreetBluffton, OH 45817 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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.

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.

67.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.71

Promoting Interoperability

Improvement Activities

Cost

58.37

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.

JORDYN ATWATER MD

Surgery