RAYMOND PLANINSIC
NPI 1245205780
Specialist in Pittsburgh, PA

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3550 TERRACE ST, A1305 SCAIFE HALL, PITTSBURGH, PA 15213(412) 647-2808 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2021, May 26, 2021 (2 updates tracked since 2021).

About Raymond Planinsic NPPES

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

RAYMOND PLANINSIC (NPI 1245205780) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD040131E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1245205780
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRAYMOND PLANINSIC
Location Address3550 TERRACE ST, A1305 SCAIFE HALLPittsburgh, PA 15213-2500
Mailing Address3550 Terrace St, A1305 Scaife HallPittsburgh, PA 15213-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPI 1245205780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PA · MD040131E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3550 TERRACE ST, Pittsburgh, PA 15213

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

Raymond Planinsic 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 ID2668665993
PECOS Enrollment IDI20101019001461
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 6

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
47 services44 patients
Anesthesia for partial removal of liver or management of bleeding including use of an endoscope 00792
Anesthesia for partial liver removal or bleeding management involves ensuring you feel no pain during the procedure. It may be general or regional, making you unconscious or numbing a large area. An endoscope, a flexible tube with a light and camera, aids in visualizing internal areas.
18 services18 patients
Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
16 services14 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
15 services15 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
15 services14 patients
Anesthesia for other procedure on neck area (1 year or older) 00320
Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Nurse Anesthetist, Certified Registered
3550 TERRACE ST, SCAIFE HALL A1305
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3550 TERRACE ST
PITTSBURGH, PA 15213
Pharmacist
3550 TERRACE ST
PITTSBURGH, PA 15213
Surgery
3550 TERRACE ST, SUITE 670 SCAIFE HALL
PITTSBURGH, PA 15213
Specialist
3550 TERRACE ST, A1305 SCAIFE HALL
PITTSBURGH, PA 15213
Plastic Surgery
3550 TERRACE ST, SCAIFE HALL STE 6B
PITTSBURGH, PA 15213
Internal Medicine (Critical Care Medicine)
3550 TERRACE ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3550 TERRACE ST
PITTSBURGH, PA 15213

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 Raymond Planinsic's NPI number?

The NPI number for Raymond Planinsic is 1245205780. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Raymond Planinsic located?

Raymond Planinsic practices at 3550 Terrace St A1305 Scaife Hall, Pittsburgh, PA 15213. The listed phone number is (412) 647-2808.

What is Raymond Planinsic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Raymond Planinsic enrolled in Medicare?

Yes. Raymond Planinsic 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 Raymond Planinsic affiliated with any hospitals?

According to CMS data, Raymond Planinsic is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Raymond Planinsic was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.