SHELBY K RAISER DO
NPI 1396725271
Family Medicine in Thornville, OH

Q: What is Shelby Raiser's NPI number?

The NPI number for Shelby Raiser is 1396725271. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Shelby Raiser's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Raiser was last updated on May 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment

41 FOSTER DR, THORNVILLE, OH 43076(740) 246-6361(740) 246-4722 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Shelby K Raiser Do NPPES

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

SHELBY K RAISER DO (NPI 1396725271) is an individual family medicine provider in Thornville, Ohio, licensed in Ohio (34008545) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2002).

NPPES Registry Identity

NPI1396725271

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHELBY K RAISERCredential: DO

Location Address41 FOSTER DRThornville, OH 43076-8010

Mailing AddressPo Box 1821Zanesville, OH 43702-1821 · (740) 455-3304 · Fax (740) 455-3686

Phone(740) 246-6361

Fax(740) 246-4722

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2002

Enumeration DateJanuary 18, 2006

Last NPPES UpdateMay 1, 2013

✔ NPI 1396725271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34008545

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

41 FOSTER DR, Thornville, OH 43076

Open in Google Maps ↗

Other Identifiers 5

Medicare UPINI46458

Medicaid2622899OH

Other000000592373Anthem

Medicare PIN4174203

Other311518750029OH · Caresource

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Shelby K Raiser Do 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 ID648291468

PECOS Enrollment IDI20051208000393

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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

254 services107 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

69 services69 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

65 services65 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services23 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services24 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services13 patients

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.

16 services13 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

15 services14 patients

Influenza vaccine, quadrivalent derived from cell cultures 90756

The quadrivalent influenza vaccine, derived from cell cultures, is a flu shot that protects against four different flu viruses. It's made in labs using cell cultures instead of eggs, making it a good option for those with egg allergies. It's a crucial tool in preventing the flu.

13 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360039

Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County

Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360072

Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County

Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43076 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%52 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%135 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%90 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers18 claims33 services$5.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier19 claims21 services$65.98 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LARRY IRA COWAN D.O.

Family Medicine

41 FOSTER DR
THORNVILLE, OH 43076

Perry County (740) 246-6361

THORNVILLE FAMILY MEDICAL CENTER INC

Family Medicine

41 FOSTER DR
THORNVILLE, OH 43076

Perry County (740) 246-6361

MELISSA KOPPELMAN DO

Family Medicine

41 FOSTER DR
THORNVILLE, OH 43076

Perry County (740) 246-6361

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 Shelby Raiser's NPI number?

The NPI number for Shelby Raiser is 1396725271. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Shelby Raiser located?

Shelby Raiser practices at 41 Foster Dr, Thornville, OH 43076. The listed phone number is (740) 246-6361.

What is Shelby Raiser's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelby Raiser enrolled in Medicare?

Yes. Shelby Raiser 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 Shelby Raiser accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Shelby Raiser 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 Shelby Raiser affiliated with any hospitals?

According to CMS data, Shelby Raiser is affiliated with Genesis Hospital, Fairfield Medical Center and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Raiser was last updated on May 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.