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RICHARD V RAVALIN MD
NPI 1407939572
Orthopaedic Surgery in Monterey, CA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
12 UPPER RAGSDALE DR, MONTEREY, CA 93940(831) 648-7200(831) 648-7204 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard V Ravalin Md NPPES

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

RICHARD V RAVALIN MD (NPI 1407939572) is an individual orthopaedic surgery provider in Monterey, California, licensed in California (A71729) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Monterey, and is a graduate of Creighton University School Of Medicine (1995).

NPPES Registry Identity

NPI1407939572
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRICHARD V RAVALINCredential: MD
Location Address12 UPPER RAGSDALE DRMonterey, CA 93940
Mailing Address12 Upper Ragsdale DrMonterey, CA 93940-5730 · (831) 648-7200 · Fax (831) 648-7204
Phone(831) 648-7200
Fax(831) 648-7204
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1995
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 18, 2018
✔ NPI 1407939572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A71729
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
12 UPPER RAGSDALE DR, Monterey, CA 93940
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Secondary Practice Location 1

Location 121 Lower Ragsdale DrMonterey, CA 93940-5740 · Phone (831) 648-7200 · Fax (831) 648-7204

Other Identifiers 1

Medicaid00A717292CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard V Ravalin Md 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 ID244126977
PECOS Enrollment IDI20040323001845
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Ravalin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monterey Spine & Joint PC
Same address
Orthopaedic Surgery
12 UPPER RAGSDALE DR
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 132 clinicians in this Medicare group
NPI 1881620599 (831) 648-7200
Pacific Coast Orthopedics Inc
0.1 mi
Orthopaedic Surgery
101 WILSON RD
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
NPI 1629143581 (831) 648-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
373 services194 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
297 services156 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.
192 services149 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.
139 services139 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
77 services63 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.
61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%826 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%3,381 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%475 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%940 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%1,560 patients1/55-star benchmark: 99%
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…
28%1,394 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 5% · 678 patients
10%678 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
45%1,560 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
46%1,560 patients4/55-star benchmark: 59%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
44%85 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 508 patients
1%508 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
0%1,560 patients
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

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

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$92.96 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.

MONTAGE PHYSICIAN ASSOCIATES
Clinic/Center
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 242-3080
DR. SOHRAB GOLLOGLY M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 648-7200
AVERY CARR-BOYD NILSEN PT
Physical Therapist
12 UPPER RAGSDALE DR, SUITE B
MONTEREY, CA 93940
Monterey County (831) 375-1562
GABRIEL ANDREW MEAD DPT
Physical Therapist
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (540) 664-9993
SCOTT D SMITH DPM
Podiatrist
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 648-7200
DR. MARK CHRISTOPHER HOWARD M.D.
Orthopaedic Surgery (Sports Medicine)
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 648-7200
CHRISTOPHER M MECKEL MD PC
Orthopaedic Surgery
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 648-7200
GARY J. CHANG M.D.
Anesthesiology (Pain Medicine)
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 648-7200

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 Richard Ravalin's NPI number?

The NPI number for Richard Ravalin is 1407939572. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Richard Ravalin located?

Richard Ravalin practices at 12 Upper Ragsdale Dr, Monterey, CA 93940. The listed phone number is (831) 648-7200.

What is Richard Ravalin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Ravalin enrolled in Medicare?

Yes. Richard Ravalin 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.

Which organizations bill Medicare for Richard Ravalin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Ravalin reassigns Medicare benefits to 2 organizations: Monterey Spine & Joint PC (Monterey, CA) and Pacific Coast Orthopedics Inc (Monterey, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Ravalin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Ravalin was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.