RAYCOR FADERUGAO CRNP
NPI 1417323445
Nurse Practitioner - Acute Care in Baltimore, MD

Active since August 13, 2015PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
600 N WOLFE ST, OSLER 0-600, BALTIMORE, MD 21287(410) 955-5353(410) 955-7363 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Raycor Faderugao Crnp NPPES

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

RAYCOR FADERUGAO CRNP (NPI 1417323445) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R160569) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417323445
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameRAYCOR FADERUGAOCredential: CRNP
Location Address600 N WOLFE ST, OSLER 0-600Baltimore, MD 21287-0005
Mailing Address600 N Wolfe St, Osler 0-600Baltimore, MD 21287-0005 · (410) 955-5353 · Fax (410) 955-7363
Fax(410) 955-7363
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 13, 2015
Last NPPES UpdateNovember 18, 2015
NPI 1417323445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MD · R160569
600 N WOLFE ST, Baltimore, MD 21287

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

Raycor Faderugao 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 ID3173831161
PECOS Enrollment IDI20210729001354
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

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.

Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287

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 Raycor Faderugao's NPI number?

The NPI number for Raycor Faderugao is 1417323445. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Where is Raycor Faderugao located?

Raycor Faderugao practices at 600 N Wolfe St Osler 0-600, Baltimore, MD 21287. The listed phone number is (410) 955-5353.

What is Raycor Faderugao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Raycor Faderugao enrolled in Medicare?

Yes. Raycor Faderugao 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 Raycor Faderugao affiliated with any hospitals?

According to CMS data, Raycor Faderugao is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Raycor Faderugao was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.