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SARAH RAAFAT RAFLA MD
NPI 1316503931
Family Medicine in Scottdale, PA

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
109 CROSSROADS RD, SCOTTDALE, PA 15683(724) 887-5989(724) 887-0129 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, May 21, 2019 (2 updates tracked since 2019).

About Sarah Raafat Rafla Md NPPES

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

SARAH RAAFAT RAFLA MD (NPI 1316503931) is an individual family medicine provider in Scottdale, Pennsylvania, licensed in Pennsylvania (MD478734) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and maintains a secondary practice location in Terre Haute.

NPPES Registry Identity

NPI1316503931
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSARAH RAAFAT RAFLACredential: MD
Location Address109 CROSSROADS RDScottdale, PA 15683-2458
Mailing Address109 Crossroads RdScottdale, PA 15683-2458 · (724) 887-5989 · Fax (724) 887-0129
Phone(724) 887-5989
Fax(724) 887-0129
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2019
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1316503931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD478734
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
109 CROSSROADS RD, Scottdale, PA 15683
Open in Google Maps ↗

Other Names 1

Former Name (1)Sarah Guirguis Md

Secondary Practice Location 1

Location 11530 N 7th St Ste 200Terre Haute, IN 47807-1061 · Phone (812) 238-7631 · Fax (812) 238-7003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sarah Raafat Rafla 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 ID8729312327
PECOS Enrollment IDI20220730000453
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15683 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

TARA D HALL CRNP
Nurse Practitioner (Family)
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-5989
ALEXIS OLIVIA KLATT
Physical Therapist
109 CROSSROADS RD
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4181
DR. PAUL E MEANS JR. D.O.
Family Medicine
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-5989
TIFFANY PLUTO D.O.
Family Medicine
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-5989
ULERY CHIROPRACTIC
Chiropractor
109 CROSSROADS RD, SUITE 206
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4661
STEFANIE SNYDER R.N., CRNP
Nurse Practitioner (Family)
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-3161
HAYLEY E SKOVIRA DPT
Physical Therapist
109 CROSSROADS RD
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4181
DR. TODD ALLEN ULERY D.C.
Chiropractor (Sports Physician)
109 CROSSROADS RD, SUITE 206
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4661

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 Sarah Rafla's NPI number?

The NPI number for Sarah Rafla is 1316503931. It was assigned to this individual provider in the NPPES registry on May 20, 2019. The provider is also known as Sarah Guirguis MD.

Where is Sarah Rafla located?

Sarah Rafla practices at 109 Crossroads Rd, Scottdale, PA 15683. The listed phone number is (724) 887-5989.

What is Sarah Rafla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sarah Rafla enrolled in Medicare?

Yes. Sarah Rafla 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 Sarah Rafla accept?

Health plans from CareSource list Sarah Rafla 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 Sarah Rafla affiliated with any hospitals?

According to CMS data, Sarah Rafla is affiliated with Penn Highlands Mon Valley.

When was this NPI record last updated?

The NPPES record for Sarah Rafla was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.