MICHAEL ADAM RAGHUNATH MD
NPI 1306308168
Family Medicine in Glen Cove, NY

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
10 MEDICAL PLZ STE 302, GLEN COVE, NY 11542(516) 674-7900 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2026, Apr 2, 2019 (2 updates tracked since 2019).

About Michael Adam Raghunath Md NPPES

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

MICHAEL ADAM RAGHUNATH MD (NPI 1306308168) is an individual family medicine provider in Glen Cove, New York, licensed in New York (318399) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northwell Hospital Glen Cove, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306308168
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL ADAM RAGHUNATHCredential: MD
Location Address10 MEDICAL PLZ STE 302Glen Cove, NY 11542-2101
Mailing Address10 Medical Plz Ste 302Glen Cove, NY 11542-2101 · (516) 674-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1306308168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 318399
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 MEDICAL PLZ STE 302, Glen Cove, NY 11542

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

Michael Adam Raghunath 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 ID446587471
PECOS Enrollment IDI20220919000730
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
93 services44 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.
36 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

Family Medicine
10 MEDICAL PLZ STE 302
GLEN COVE, NY 11542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306308168, enumerated as an "individual" on April 02, 2019.

The provider is located at 10 MEDICAL PLZ STE 302 GLEN COVE, NY 11542 and the phone number is (516) 674-7900.

Family Medicine with taxonomy code 207Q00000X.

Michael Raghunath is affiliated with: NORTHWELL HOSPITAL GLEN COVE.