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DR. EDMUND WILLIAM RAYCRAFT M.D.
NPI 1194725077
Orthopaedic Surgery in Decatur, IL

Active since July 21, 2005PECOS Enrolled
67.18/100
CMS Quality Rating
304 W HAY ST, SUITE 111, DECATUR, IL 62526(217) 872-8200(217) 872-4898 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edmund William Raycraft M.d. NPPES

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

DR. EDMUND WILLIAM RAYCRAFT M.D. (NPI 1194725077) is an individual orthopaedic surgery provider in Decatur, Illinois, licensed in Illinois (036079689) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194725077
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EDMUND WILLIAM RAYCRAFTCredential: M.D.
Location Address304 W HAY ST, SUITE 111Decatur, IL 62526-6328
Mailing Address304 W Hay St, Suite 111Decatur, IL 62526-6328 · (217) 872-8200 · Fax (217) 872-4898
Phone(217) 872-8200
Fax(217) 872-4898
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1194725077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036079689
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
304 W HAY ST, Decatur, IL 62526
Open in Google Maps ↗

Other Identifiers 7

Other5574560001IL · Medicare Dme
Medicaid036079689IL
Other131595IL · Healthlink
Medicare PIN212799IL
Medicare UPINE54308
OtherP00273351IL · Railroad Medicare
Other005832071IL · Blue Cross Blue Shield

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. Edmund William Raycraft M.d. 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 8

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.
97 services93 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
91 services70 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
64 services62 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
51 services48 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
49 services45 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

DR. STEPHEN R GOETTER M.D.
Internal Medicine
304 W HAY ST, STE 312
DECATUR, IL 62526
Macon County (217) 876-5600
DAVID W BAUMBERGER M.D.
Internal Medicine
304 W HAY ST, STE 312
DECATUR, IL 62526
Macon County (217) 876-5600
JMS HAND ASSOCIATES, S.C.
Durable Medical Equipment & Medical Supplies
304 W HAY ST, SUITE 215
DECATUR, IL 62526
Macon County (217) 875-4263
DR. JEFFERY M SMITH M.D.
Orthopaedic Surgery (Hand Surgery)
304 W HAY ST, SUITE 215
DECATUR, IL 62526
Macon County (247) 875-4263
DR. TYLER NOEL JONES M.D.
Orthopaedic Surgery
304 W HAY ST, STE 111
DECATUR, IL 62526
Macon County (217) 872-8205
CENTER FOR SIGHT CENTRAL IL I SC
Optometrist
304 W HAY ST, SUITE 311
DECATUR, IL 62526
Macon County (217) 877-5050
M STEPHEN HUSS M.D.,S.C.
Orthopaedic Surgery
304 W HAY ST, SUITE 213
DECATUR, IL 62526
Macon County (217) 875-1518
DR. M STEPHEN HUSS M.D.
Orthopaedic Surgery
304 W HAY ST, STE 213
DECATUR, IL 62526
Macon County (217) 875-1518

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 Edmund Raycraft's NPI number?

The NPI number for Edmund Raycraft is 1194725077. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Edmund Raycraft located?

Edmund Raycraft practices at 304 W Hay St Suite 111, Decatur, IL 62526. The listed phone number is (217) 872-8200.

What is Edmund Raycraft's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Edmund Raycraft enrolled in Medicare?

Yes. Edmund Raycraft is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edmund Raycraft was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.