MR. ANTHONY RAYMOND RAINERI PA-C
NPI 1205386430
Physician Assistant in Wilkes Barre, PA

Q: What is Anthony Raineri's NPI number?

The NPI number for Anthony Raineri is 1205386430. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Q: What is Anthony Raineri's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Raineri was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 October 12, 2016PECOS EnrolledAccepts Medicare Assignment

81.17/100

CMS Quality Rating

150 MUNDY STREET, WILKES BARRE, PA 18702(570) 829-0031(570) 802-0104 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Mar 26, 2025, Aug 31, 2020 and 2 more (5 updates tracked since 2016).

On this page

About Mr. Anthony Raymond Raineri Pa-c NPPES

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

MR. ANTHONY RAYMOND RAINERI PA-C (NPI 1205386430) is an individual physician assistant in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA058585) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Sugarloaf.

NPPES Registry Identity

NPI1205386430

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ANTHONY RAYMOND RAINERICredential: PA-C

Location Address150 MUNDY STREETWilkes Barre, PA 18702-6830

Mailing Address150 Mundy StWilkes Barre, PA 18702-6830 · (570) 829-0031 · Fax (570) 802-0104

Phone(570) 829-0031

Fax(570) 802-0104

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 12, 2016

Last NPPES UpdateApril 30, 20265 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1205386430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA058585

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.

150 MUNDY STREET, Wilkes Barre, PA 18702

Open in Google Maps ↗

Secondary Practice Location 1

Location 18 Brookhill Sq SSugarloaf, PA 18249-1010 · Phone (570) 459-0029 · Fax (570) 454-5757

Accepted Insurance

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

Mr. Anthony Raymond Raineri Pa-c 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 ID840579116

PECOS Enrollment IDI20161110000206

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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

780 services134 patients

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.

492 services354 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

464 services301 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

287 services168 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

207 services143 patients

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.

172 services125 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.

76 services76 patients

Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300

This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.

71 services56 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.

60 services60 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

54 services45 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less 11305

This is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.

22 services20 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11310

This procedure involves the careful removal of a small skin growth on the face or related areas. A medical professional uses a special tool to gently shave off the growth, which is 0.5 cm or less. It's a common, safe procedure.

20 services20 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

19 services19 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311

This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.

18 services18 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 11306

This procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

81.17/100

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

Scored as part of a group practice

Quality

86.12

Improvement Activities

Cost

62.67

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN D DOMZALSKI PA-C

Physician Assistant (Medical)

150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702

Luzerne County (570) 824-0930

ZAHID HUSAIN MD

Internal Medicine (Rheumatology)

150 MUNDY STREET, MAC II BLDG
WILKES BARRE, PA 18702

Luzerne County (570) 824-7117

JULIANN P KAMINSKI LMT

Massage Therapist

150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702

Luzerne County (570) 824-0930

PRACHI MAJAMUNDAR

Physician Assistant

150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702

Luzerne County (570) 824-0930

ADAM WILLIAM YNGELMO PA-C

Physical Medicine & Rehabilitation

150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702

Luzerne County (570) 824-0930

MRS. NANCY JEAN BODMAN-GOY CRNP

Nurse Practitioner (Gerontology)

150 MUNDY STREET
WILKES-BARRE, PA 18702

Luzerne County (570) 824-0930

NEUROSURGICAL SPECIALTIES OF NEPA

Neurological Surgery

150 MUNDY STREET, MAC 4
WILKES BARRE, PA 18702

Luzerne County (570) 823-3300

ARTHRITIS CENTER OF NE PA INC

Internal Medicine (Rheumatology)

150 MUNDY STREET, MAC II BLDG
WILKES BARRE, PA 18702

Luzerne County (570) 824-7117

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 Anthony Raineri's NPI number?

The NPI number for Anthony Raineri is 1205386430. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Anthony Raineri located?

Anthony Raineri practices at 150 Mundy Street, Wilkes Barre, PA 18702. The listed phone number is (570) 829-0031.

What is Anthony Raineri's specialty?

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

Is Anthony Raineri enrolled in Medicare?

Yes. Anthony Raineri 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 Anthony Raineri accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anthony Raineri 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 Anthony Raineri affiliated with any hospitals?

According to CMS data, Anthony Raineri is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Raineri was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.