RICHARD CARLYLE RAYNOR SR. AGACNP
NPI 1255713046
Nurse Practitioner - Gerontology in Durham, NC

Q: What is Richard Raynor's NPI number?

The NPI number for Richard Raynor is 1255713046. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Q: What is Richard Raynor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Richard Raynor was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2015PECOS Enrolled

2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713(984) 227-8902 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Richard Carlyle Raynor Sr. Agacnp NPPES

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

RICHARD CARLYLE RAYNOR SR. AGACNP (NPI 1255713046) is an individual gerontology provider in Durham, North Carolina, licensed in North Carolina (5007650) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1255713046

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameRICHARD CARLYLE RAYNOR SR.Credential: AGACNP

Location Address2645 MERIDIAN PKWY STE 323Durham, NC 27713-4232

Mailing Address118 Thornewood DrCary, NC 27518-9733 · (919) 539-5297

Phone(984) 227-8902

Sole ProprietorNo

Enumeration DateJune 29, 2015

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1255713046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NC · 5007650

2645 MERIDIAN PKWY STE 323, Durham, NC 27713

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Secondary Practice Location 1

Location 13400 Wake Forest RdRaleigh, NC 27609-7317 · Phone (919) 862-5330

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Carlyle Raynor Sr. Agacnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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