MR. JOHN RAFFERTY CRNP
NPI 1386294684
Nurse Practitioner - Family in Tobyhanna, PA

Active since September 18, 2019PECOS EnrolledAccepts Medicare Assignment
79.45/100
CMS Quality Rating
100 COMMUNITY DR, TOBYHANNA, PA 18466(570) 839-1400(570) 839-1079 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2019, Sep 18, 2019 (2 updates tracked since 2019).

About Mr. John Rafferty Crnp NPPES

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

MR. JOHN RAFFERTY CRNP (NPI 1386294684) is an individual family provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (SP020602) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386294684
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN RAFFERTYCredential: CRNP
Location Address100 COMMUNITY DRTobyhanna, PA 18466-8985
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(570) 839-1079
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2019
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
NPI 1386294684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP020602
Also ListedRegistered NurseTaxonomy 163W00000X · License RN684876 (PA)
100 COMMUNITY DR, Tobyhanna, PA 18466

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. John Rafferty Crnp 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 ID7810320355
PECOS Enrollment IDI20191213001462
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services139 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services22 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18466 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.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

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.

Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 COMMUNITY DR, STE 106
TOBYHANNA, PA 18466
Physical Therapist
100 COMMUNITY DR, 105
TOBYHANNA, PA 18466
Family Medicine
100 COMMUNITY DR
TOBYHANNA, PA 18466
Speech-Language Pathologist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Nurse Practitioner (Family)
100 COMMUNITY DR, STE 102
TOBYHANNA, PA 18466
Physician Assistant
100 COMMUNITY DR, SUITE 203
TOBYHANNA, PA 18466
Physical Medicine & Rehabilitation
100 COMMUNITY DR
TOBYHANNA, PA 18466

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 John Rafferty's NPI number?

The NPI number for John Rafferty is 1386294684. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is John Rafferty located?

John Rafferty practices at 100 Community Dr, Tobyhanna, PA 18466. The listed phone number is (570) 839-1400.

What is John Rafferty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Rafferty enrolled in Medicare?

Yes. John Rafferty 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.

Is John Rafferty affiliated with any hospitals?

According to CMS data, John Rafferty is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for John Rafferty was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.