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JAMES R. J. RAYNER MD
NPI 1194793018
Emergency Medicine in Providence, RI

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903(401) 519-1604(401) 272-0538 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James R. J. Rayner Md NPPES

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

JAMES R. J. RAYNER MD (NPI 1194793018) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD11291) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1194793018
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES R. J. RAYNERCredential: MD
Location Address593 EDDY ST, CLAVERICK 2Providence, RI 02903-4923
Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2500 · Fax (401) 854-2519
Phone(401) 519-1604
Fax(401) 272-0538
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 8, 2006
Last NPPES UpdateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1194793018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in RI · MD11291
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1355 Prairie AveProvidence, RI 02905-1928 · Phone (401) 415-9000 · Fax (401) 396-2084

Other Identifiers 9

Other08-01-2007RI · Nhpri
Other04/15/2009RI · United Healthcare
Medicaid7056038RI
Other12/29/2009MA · Tufts Health Plan
Other411945RI · Blue Chip
Other1994793018RI · Npi
Medicaid2110130MA
OtherP00671203RI · Railroad Medicare
Other007057849RI · Ri Medicare

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

James R. J. Rayner 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 ID8123912144
PECOS Enrollment IDI20040211000320
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 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.
65 services64 patients
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.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 James Rayner's NPI number?

The NPI number for James Rayner is 1194793018. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is James Rayner located?

James Rayner practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 519-1604.

What is James Rayner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Rayner enrolled in Medicare?

Yes. James Rayner 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.

Is James Rayner affiliated with any hospitals?

According to CMS data, James Rayner is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for James Rayner was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.