ERIC RAFFIN M.D.
NPI 1407274442
Urology in Dover, NH

Q: What is Eric Raffin's NPI number?

The NPI number for Eric Raffin is 1407274442. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Q: What is Eric Raffin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Raffin was last updated on April 21, 2021. 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 April 06, 2014PECOS EnrolledAccepts Medicare Assignment

83.63/100

CMS Quality Rating

10 MEMBERS WAY, DOVER, NH 03820(603) 742-1444 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2021, Aug 3, 2019 (2 updates tracked since 2019).

On this page

About Eric Raffin M.d. NPPES

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

ERIC RAFFIN M.D. (NPI 1407274442) is an individual urology provider in Dover, New Hampshire, licensed in New Hampshire (19665) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407274442

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameERIC RAFFINCredential: M.D.

Location Address10 MEMBERS WAYDover, NH 03820-5933

Mailing Address10 Members WayDover, NH 03820-5933 · (603) 742-1444

Phone(603) 742-1444

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 6, 2014

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1407274442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NH · 19665

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

10 MEMBERS WAY, Dover, NH 03820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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

Eric Raffin M.d. 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 ID2365749918

PECOS Enrollment IDI20190815000474

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 19

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.

Bcg live intravesical instillation, 1 mg J9030

BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.

1,350 services14 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.

741 services523 patients

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.

517 services399 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

287 services226 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.

164 services151 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

90 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

75 services75 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

69 services48 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

57 services46 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

50 services43 patients

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.

40 services38 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

27 services14 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

26 services20 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

23 services23 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

22 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services18 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

18 services11 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

14 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

York Hospital

Acute Care Hospitals · York, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200020

Location15 Hospital DriveYork, ME 03909 · York County

Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH

2/5 CMS rating

OwnershipProprietary

CMS Certification Number300014

Location11 Whitehall RoadRochester, NH 03867 · Strafford County

Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number300029

Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County

Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301312

Location240 South Main StreetWolfeboro, NH 03894 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$71.85 typical visit price

range $18.70 – $142.15

Typical copayment $17.96 (range $4.67 – $35.53)

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.

83.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.06

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Irrigation tray with bulb or piston syringe, any purpose A4320

DME-Medical/Surgical Supplies · category DA000N

1 supplier23 claims23 services$5.17 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers30 claims3,781 services$1.73 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers12 claims2,250 services$6.19 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers11 claims33 services$7.72 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each A5112

DME-Orthotic Devices · category DF000N

1 supplier26 claims26 services$27.73 avg. paid by Medicare

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

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.

MARIANNE K EVANS-RAMSAY LD, RD, CDE

Dietitian, Registered

10 MEMBERS WAY, SUITE 203
DOVER, NH 03820

Strafford County (603) 740-2443

MRS. MELANIE L. RHOADES RD CDE

Dietitian, Registered

10 MEMBERS WAY, SUITE 400
DOVER, NH 03820

Strafford County (603) 742-1143

MS. MEGRETTE F FLETCHER RD LD CDE

Dietitian, Registered

10 MEMBERS WAY, SUITE 300
DOVER, NH 03820

Strafford County (603) 742-7222

PAUL C TUNG MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

10 MEMBERS WAY, SUITE 400
DOVER, NH 03820

Strafford County (603) 742-1143

SONITA E MENDOZA MD

Internal Medicine (Rheumatology)

10 MEMBERS WAY, SUITE 403
DOVER, NH 03820

Strafford County (603) 742-6664

MISS ELIZABETH R HIPPLE LD,RD,CDE

Dietitian, Registered

10 MEMBERS WAY, SUITE 400
DOVER, NH 03820

Strafford County (603) 742-1143

MICHELLE SARAH MANCHERJE MD

Family Medicine

10 MEMBERS WAY
DOVER, NH 03820

Strafford County (603) 742-3174

CECIL WESLEY BEAN MD

Plastic Surgery

10 MEMBERS WAY, SUITE 303
DOVER, NH 03820

Strafford County (603) 516-4268

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 Eric Raffin's NPI number?

The NPI number for Eric Raffin is 1407274442. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Eric Raffin located?

Eric Raffin practices at 10 Members Way, Dover, NH 03820. The listed phone number is (603) 742-1444.

What is Eric Raffin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Eric Raffin enrolled in Medicare?

Yes. Eric Raffin 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 Eric Raffin accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Eric Raffin 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 Eric Raffin affiliated with any hospitals?

According to CMS data, Eric Raffin is affiliated with York Hospital, Frisbie Memorial Hospital, Wentworth-Douglass Hospital, Portsmouth Regional Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Eric Raffin was last updated on April 21, 2021. 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.