MRS. MARTHA ANN RAINES N.P.
NPI 1316186372
Nurse Practitioner in Spartanburg, SC

Active since February 16, 2009PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
100 E WOOD ST, SUITE 202, SPARTANBURG, SC 29303(864) 560-7070(864) 560-7073 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2020, Nov 16, 2016 (2 updates tracked since 2016).

About Mrs. Martha Ann Raines N.p. NPPES

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

MRS. MARTHA ANN RAINES N.P. (NPI 1316186372) is an individual nurse practitioner in Spartanburg, South Carolina, licensed in South Carolina (68713) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2008).

NPPES Registry Identity

NPI1316186372
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARTHA ANN RAINESCredential: N.P.
Location Address100 E WOOD ST, SUITE 202Spartanburg, SC 29303-3004
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 560-7073
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2008
Enumeration DateFebruary 16, 2009
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1316186372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SC · 68713
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

100 E WOOD ST, Spartanburg, SC 29303

Other Identifiers 3

MedicaidNP1370SC
OtherP00721826SC · Rr Medicare
Medicaid7000519NC

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

Mrs. Martha Ann Raines N.p. 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 ID9032276431
PECOS Enrollment IDI20090331000097
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services62 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Surgery
100 E WOOD ST, SUITE 301
SPARTANBURG, SC 29303
Surgery
100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303
Internal Medicine
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Surgery
100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303
Internal Medicine
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Internal Medicine
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Plastic Surgery
100 E WOOD ST, SUITE 100
SPARTANBURG, SC 29303
Nurse Practitioner
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

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 Martha Raines's NPI number?

The NPI number for Martha Raines is 1316186372. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Where is Martha Raines located?

Martha Raines practices at 100 E Wood St Suite 202, Spartanburg, SC 29303. The listed phone number is (864) 560-7070.

What is Martha Raines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Martha Raines enrolled in Medicare?

Yes. Martha Raines 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 Martha Raines accept?

Health plans from First Choice Next, Molina Healthcare and UnitedHealthcare list Martha Raines 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 Martha Raines affiliated with any hospitals?

According to CMS data, Martha Raines is affiliated with Spartanburg Medical Center, Cherokee Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Martha Raines was last updated on December 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.