OLE A RAUSTOL MD
NPI 1366583213
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Asheville, NC

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803(828) 213-1740(828) 213-1742 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2022, Oct 9, 2018, Jul 17, 2018 and 1 more (4 updates tracked since 2018).

About Ole A Raustol Md NPPES

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

OLE A RAUSTOL MD (NPI 1366583213) is an individual pediatric orthopaedic surgery provider in Asheville, North Carolina, licensed in North Carolina (201002101) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Warren Alpert Medical School Of Brown University (2001).

NPPES Registry Identity

NPI1366583213
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameOLE A RAUSTOLCredential: MD
Location Address11 VANDERBILT PARK DRAsheville, NC 28803-1700
Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 250-2833 · Fax (828) 651-6559
Fax(828) 213-1742
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2001
Enumeration DateFebruary 12, 2007
Last NPPES UpdateFebruary 8, 20224 updates tracked since enumeration
✔ NPI 1366583213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in NC · 201002101
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 201002101 (NC)
Also ListedPediatricsTaxonomy 208000000X · License 2010-02101 (NC)
11 VANDERBILT PARK DR, Asheville, NC 28803

Other Identifiers 2

Medicaid5906059NC
Medicaid1366583213VA

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

Ole A Raustol 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 ID3577650878
PECOS Enrollment IDI20111227000092
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 Reassignment

Medicare enrollment records show Ole Raustol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
11 VANDERBILT PARK DRIVE
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 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.

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Psychiatry & Neurology (Psychiatry)
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Dentist
11 VANDERBILT PARK DR, MISSION CHILDREN'S DENTAL PROGRAM
ASHEVILLE, NC 28803
Clinic/Center
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803

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 Ole Raustol's NPI number?

The NPI number for Ole Raustol is 1366583213. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Ole Raustol located?

Ole Raustol practices at 11 Vanderbilt Park Dr, Asheville, NC 28803. The listed phone number is (828) 213-1740.

What is Ole Raustol's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Ole Raustol enrolled in Medicare?

Yes. Ole Raustol 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 organization bills Medicare for Ole Raustol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ole Raustol reassigns Medicare benefits to Mission Community Anesthesiology Specialists LLC (Asheville, NC). The 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 Ole Raustol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ole Raustol accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Ole Raustol 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 Ole Raustol affiliated with any hospitals?

According to CMS data, Ole Raustol is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Ole Raustol was last updated on February 8, 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.