MCKENZIE BLAIR RAUM PA-C
NPI 1396391025
Physician Assistant in Rockville, MD

Q: What is Mckenzie Raum's NPI number?

The NPI number for Mckenzie Raum is 1396391025. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Q: What is Mckenzie Raum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Raum was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 19, 2019PECOS EnrolledAccepts Medicare Assignment

14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850(301) 251-1433(301) 424-5266 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2020, Feb 17, 2020, Aug 19, 2019 (3 updates tracked since 2019).

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About Mckenzie Blair Raum Pa-c NPPES

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

MCKENZIE BLAIR RAUM PA-C (NPI 1396391025) is an individual physician assistant in Rockville, Maryland, licensed in Maryland (C07410) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Germantown Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396391025

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMCKENZIE BLAIR RAUMCredential: PA-C

Location Address14995 SHADY GROVE RD STE 350Rockville, MD 20850-8726

Mailing Address14995 Shady Grove Rd Ste 350Rockville, MD 20850-8726 · (301) 251-1433 · Fax (301) 424-5266

Phone(301) 251-1433

Fax(301) 424-5266

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 19, 2019

Last NPPES UpdateNovember 25, 20203 updates tracked since enumeration

NPPES CertifiedNovember 25, 2020

✔ NPI 1396391025 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 MD · C07410

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.

14995 SHADY GROVE RD STE 350, Rockville, MD 20850

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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

Mckenzie Blair Raum Pa-c 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 ID8022446319

PECOS Enrollment IDI20200320000031

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

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210065

Location19801 Observation DriveGermantown, MD 20876 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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.

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