TROY D RABER O. D.
NPI 1356315394
Optometrist in Dover, DE
About Troy D Raber O. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TROY D RABER O. D. (NPI 1356315394) is an individual optometrist in Dover, Delaware, licensed in Delaware (I3-0001252) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Troy D Raber O. D. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Troy Raber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dover, DE 19904
- Reassigned Medicare billing, Delaware enrollment
- 49 clinicians in this Medicare group
Wilmington, DE 19808
- Reassigned Medicare billing, Delaware enrollment
- 45 clinicians in this Medicare group
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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Troy Raber's NPI number?
The NPI number for Troy Raber is 1356315394. It was assigned to this individual provider in the NPPES registry on February 15, 2006.
Where is Troy Raber located?
Troy Raber practices at 885 S Governors Ave, Dover, DE 19904. The listed phone number is (302) 734-5861.
What is Troy Raber's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Troy Raber enrolled in Medicare?
Yes. Troy Raber 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.
Which organizations bill Medicare for Troy Raber's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Troy Raber reassigns Medicare benefits to 2 organizations: Myeyedr Optometry Of Delaware PA (Dover, DE) and Simon Eye Associates PA (Wilmington, DE). 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 Troy Raber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Troy Raber accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Highmark Blue Cross Blue Shield Delaware and 1 other insurer list Troy Raber 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.
When was this NPI record last updated?
The NPPES record for Troy Raber was last updated on October 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.