DR. MARC N RAAD M.D.
NPI 1316085665
Internal Medicine in Wolcott, CT

Q: What is Marc Raad's NPI number?

The NPI number for Marc Raad is 1316085665. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Marc Raad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Raad was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 01, 2007PECOS Enrolled

464 WOLCOTT RD, WOLCOTT, CT 06716(203) 879-8003(203) 879-8010 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Marc N Raad M.d. NPPES

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

DR. MARC N RAAD M.D. (NPI 1316085665) is an individual internal medicine provider in Wolcott, Connecticut, licensed in Connecticut (027695) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1316085665

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARC N RAADCredential: M.D.

Location Address464 WOLCOTT RDWolcott, CT 06716-2626

Mailing Address503 Wolcott RdWolcott, CT 06716-2673 · (203) 879-8003 · Fax (203) 879-8010

Phone(203) 879-8003

Fax(203) 879-8010

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateFebruary 1, 2007

Last NPPES UpdateDecember 1, 2015

✔ NPI 1316085665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CT · 027695

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

464 WOLCOTT RD, Wolcott, CT 06716

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Other Identifiers 3

Medicare UPINE54964CT

Medicare PIN110006522CT

Medicaid001276957CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc N Raad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355493776

PECOS Enrollment IDI20090810000155

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.

Medicare Billing Reassignments

Medicare enrollment records show Marc Raad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prospect Ct Medical Foundation, Inc.

27 mi

Family Medicine

71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040

Reassigned Medicare billing, Connecticut enrollment
422 clinicians in this Medicare group

NPI 1144677568 (860) 533-2981

Rite Medical Care PC

80 mi

Clinic/Center

504 MYRTLE AVE
Brooklyn, NY 11205

Reassigned Medicare billing, Connecticut enrollment
3 clinicians in this Medicare group

NPI 1619599578 (718) 534-0689

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,885 services570 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

531 services481 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.

231 services119 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

137 services118 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.

131 services71 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

101 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06716 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers44 claims111 services$5.06 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers22 claims27 services$0.77 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers65 claims67 services$22.91 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$29.95 avg. paid by Medicare

Insertion tray with drainage bag but without catheter A4354

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims12 services$11.40 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers83 claims88 services$8.51 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier17 claims34 services$6.39 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims1,628 services$0.37 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier15 claims450 services$6.33 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier13 claims390 services$4.49 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

3 suppliers33 claims1,341 services$6.86 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims144 services$9.35 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims495 services$3.16 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers25 claims3,077 services$0.37 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier13 claims390 services$3.27 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers26 claims720 services$4.11 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims5,269 services$0.30 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers13 claims4,990 services$0.53 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers16 claims16 services$47.59 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

6 suppliers13 claims13 services$40.10 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

2 suppliers16 claims16 services$7.99 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers50 claims50 services$38.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers34 claims35 services$18.39 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers46 claims46 services$4.27 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers17 claims17 services$37.49 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

2 suppliers24 claims24 services$13.38 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

2 suppliers24 claims24 services$13.15 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

2 suppliers24 claims24 services$185.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers34 claims35 services$60.18 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers37 claims37 services$14.60 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers53 claims53 services$8.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KRISTIN A. WOODS

Social Worker (Clinical)

464 WOLCOTT RD
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 633-4560

KELSEY S BRENNAN

Physician Assistant

464 WOLCOTT RD
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 879-6171

MS. GAYLE GWOZDZ A.P.R.N.

Nurse Practitioner (Adult Health)

464 WOLCOTT RD
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 623-4560

CATHY C LANOIE NP

Nurse Practitioner (Adult Health)

464 WOLCOTT RD
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 633-4560

DENTAL HEALTH ASSOCIATES P.C.

Dentist (General Practice)

464 WOLCOTT RD, SUITE 2
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 879-4649

GERICARE

Nurse Practitioner

464 WOLCOTT RD
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 633-4560

KARLENE A HYLTON APRN

Nurse Practitioner (Family)

464 WOLCOTT RD, GERICARE, LLC
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (203) 633-4560

UNIQUE APPROACH, LLC

Nurse Practitioner (Psychiatric/Mental Health)

464 WOLCOTT RD, ATTN: JONATHAN BRENES
WOLCOTT, CT 06716

Naugatuck Valley Planning Region (917) 509-0744

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 Marc Raad's NPI number?

The NPI number for Marc Raad is 1316085665. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Marc Raad located?

Marc Raad practices at 464 Wolcott Rd, Wolcott, CT 06716. The listed phone number is (203) 879-8003.

What is Marc Raad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Raad enrolled in Medicare?

Yes. Marc Raad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marc Raad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Raad reassigns Medicare benefits to 2 organizations: Prospect Ct Medical Foundation, Inc. (Manchester, CT) and Rite Medical Care PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Raad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Raad was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.