DR. BETHWEL RAORE MD
NPI 1215114475
Neurological Surgery in Suwanee, GA

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
454 SATELLITE BLVD NW STE 100, SUWANEE, GA 30024(678) 250-0880(678) 963-5307 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 2, 2023, Dec 17, 2018, Aug 30, 2016 (3 updates tracked since 2016).

About Dr. Bethwel Raore Md NPPES

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

DR. BETHWEL RAORE MD (NPI 1215114475) is an individual neurological surgery provider in Suwanee, Georgia, licensed in Georgia (076431) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215114475
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. BETHWEL RAORECredential: MD
Location Address454 SATELLITE BLVD NW STE 100Suwanee, GA 30024-7191
Mailing Address454 Satellite Blvd Nw Ste 100Suwanee, GA 30024-7191 · (678) 250-0880 · Fax (678) 963-5307
Fax(678) 963-5307
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 29, 2008
Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1215114475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in GA · 076431
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSpecialistTaxonomy 174400000X · License 35098259 (OH)
454 SATELLITE BLVD NW STE 100, Suwanee, GA 30024

Other Identifiers 1

Medicaid0063115OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Dr. Bethwel Raore 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 ID8921263872
PECOS Enrollment IDI20160810000628, I20210811002810
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 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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
49 services16 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.
46 services35 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.
45 services37 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
30 services11 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.
30 services16 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.
22 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
454 SATELLITE BLVD NW STE 100
SUWANEE, GA 30024
Neurological Surgery
454 SATELLITE BLVD NW STE 100
SUWANEE, GA 30024
Nurse Practitioner (Family)
454 SATELLITE BLVD NW STE 100
SUWANEE, GA 30024
Neurological Surgery
454 SATELLITE BLVD NW STE 100
SUWANEE, GA 30024

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 Bethwel Raore's NPI number?

The NPI number for Bethwel Raore is 1215114475. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Bethwel Raore located?

Bethwel Raore practices at 454 Satellite Blvd NW Ste 100, Suwanee, GA 30024. The listed phone number is (678) 250-0880.

What is Bethwel Raore's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Bethwel Raore enrolled in Medicare?

Yes. Bethwel Raore 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 Bethwel Raore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Bethwel Raore 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 Bethwel Raore affiliated with any hospitals?

According to CMS data, Bethwel Raore is affiliated with Piedmont Walton Hospital, Piedmont Columbus Regional Midtown and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Bethwel Raore was last updated on October 2, 2023. 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.