MR. RAPHAEL ASWANI ATULO PA
NPI 1376018689
Physician Assistant in Columbus, GA

Active since October 12, 2018PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1831 5TH AVE, COLUMBUS, GA 31904(706) 320-8750(706) 320-8770 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2019, Oct 12, 2018 (2 updates tracked since 2018).

About Mr. Raphael Aswani Atulo Pa NPPES

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

MR. RAPHAEL ASWANI ATULO PA (NPI 1376018689) is an individual physician assistant in Columbus, Georgia, licensed in Georgia (009037) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376018689
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RAPHAEL ASWANI ATULOCredential: PA
Location Address1831 5TH AVEColumbus, GA 31904-8915
Mailing Address1019 Ruth Creek CtColumbus, GA 31909-2328 · (706) 393-4758
Fax(706) 320-8770
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2018
Last NPPES UpdateJanuary 16, 20192 updates tracked since enumeration
NPI 1376018689 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 GA · 009037
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.
1831 5TH AVE, Columbus, GA 31904

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

Mr. Raphael Aswani Atulo Pa 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 ID3779822689
PECOS Enrollment IDI20190311001425
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services61 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
50 services48 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

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.

Internal Medicine (Hematology & Oncology)
1831 5TH AVE
COLUMBUS, GA 31904
Nurse Practitioner (Family)
1831 5TH AVE
COLUMBUS, GA 31904
Radiology (Radiation Oncology)
1831 5TH AVE
COLUMBUS, GA 31904
Durable Medical Equipment & Medical Supplies
1831 5TH AVE, SUITE 200
COLUMBUS, GA 31904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1831 5TH AVE
COLUMBUS, GA 31904
Durable Medical Equipment & Medical Supplies
1831 5TH AVE, SUITE 200
COLUMBUS, GA 31904
Surgery
1831 5TH AVE
COLUMBUS, GA 31904
Internal Medicine (Hematology & Oncology)
1831 5TH AVE
COLUMBUS, GA 31904

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 Raphael Atulo's NPI number?

The NPI number for Raphael Atulo is 1376018689. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Raphael Atulo located?

Raphael Atulo practices at 1831 5th Ave, Columbus, GA 31904. The listed phone number is (706) 320-8750.

What is Raphael Atulo's specialty?

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

Is Raphael Atulo enrolled in Medicare?

Yes. Raphael Atulo 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 Raphael Atulo accept?

Health plans from Oscar Insurance Company list Raphael Atulo 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 Raphael Atulo affiliated with any hospitals?

According to CMS data, Raphael Atulo is affiliated with Upson Regional Medical Center and Piedmont Newton Hospital.

When was this NPI record last updated?

The NPPES record for Raphael Atulo was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.