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BRYAN RAFFERTY PA-C
NPI 1326410044
Physician Assistant in Wpafb, OH

Active since October 21, 2015PECOS Enrolled
88MDG/SGGP, 4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 713-9011 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Rafferty Pa-c NPPES

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

BRYAN RAFFERTY PA-C (NPI 1326410044) is an individual physician assistant in Wpafb, Ohio, licensed in Tennessee (2881) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Morristown.

NPPES Registry Identity

NPI1326410044
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN RAFFERTYCredential: PA-C
Location Address88MDG/SGGP, 4881 SUGAR MAPLE DRWpafb, OH 45433
Mailing Address88mdg/sggp, 4881 Sugar Maple DrWpafb, OH 45433 · (937) 713-9011
Phone(937) 713-9011
Sole ProprietorNo
Enumeration DateOctober 21, 2015
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1326410044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 2881
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
88MDG/SGGP, Wpafb, OH 45433
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Secondary Practice Location 1

Location 1701 McFarland StMorristown, TN 37814-3977 · Phone (423) 581-6084 · Fax (423) 581-6078

Other Identifiers 1

MedicaidQ019535TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Rafferty Pa-c 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 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bryan Rafferty's NPI number?

The NPI number for Bryan Rafferty is 1326410044. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Bryan Rafferty located?

Bryan Rafferty practices at 88mdg/Sggp 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 713-9011.

What is Bryan Rafferty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bryan Rafferty enrolled in Medicare?

Yes. Bryan Rafferty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Rafferty was last updated on June 17, 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.