DR. ROBERT A RAINES JR. M.M.
NPI 1427040831
Orthopaedic Surgery - Foot and Ankle Surgery in Cincinnati, OH

Q: What is Robert Raines's NPI number?

The NPI number for Robert Raines is 1427040831. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Robert Raines's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for Robert Raines was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

3219 CLIFTON AVE, SUITE 300, CINCINNATI, OH 45220(513) 354-3700(513) 751-0023 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jan 15, 2016 (2 updates tracked since 2016).

On this page

About Dr. Robert A Raines Jr. M.m. NPPES

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

DR. ROBERT A RAINES JR. M.M. (NPI 1427040831) is an individual foot and ankle surgery provider in Cincinnati, Ohio, licensed in Ohio (35075936R) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1993).

NPPES Registry Identity

NPI1427040831

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameDR. ROBERT A RAINES JR.Credential: M.M.

Location Address3219 CLIFTON AVE, SUITE 300Cincinnati, OH 45220-3045

Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (513) 354-7650 · Fax (513) 751-0023

Phone(513) 354-3700

Fax(513) 751-0023

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1993

Enumeration DateAugust 22, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1427040831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

License✔ Licensed in OH · 35075936R

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35075936R (OH)

3219 CLIFTON AVE, Cincinnati, OH 45220

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Other Identifiers 6

Other000000038976OH · Anthem

Other311643349OH · Private

Other4419391OH · Cigna

Other105030700OH · Us Dept Of Labor

Other0901249OH · United Healthcare

Medicaid2122278OH

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

Dr. Robert A Raines Jr. M.m. 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 ID3779566195

PECOS Enrollment IDI20100104000406, I20220817003414

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 20

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

387 services266 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.

317 services231 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.

312 services240 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

312 services138 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

144 services110 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

138 services96 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.

78 services78 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

59 services57 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

51 services40 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.

40 services40 patients

Incision of joint capsule of foot and toe 28270

An incision of the joint capsule of the foot and toe is a procedure where a small cut is made to access the joint capsule in your foot or toe. This is often done to treat conditions like arthritis or injury. It can help to relieve pain and improve mobility.

29 services21 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

29 services26 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

24 services24 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

22 services21 patients

Partial removal of foot or heel bone 28122

This procedure involves the surgical removal of a portion of the foot or heel bone. It's typically done to treat conditions like arthritis, bone spurs, or injuries. The goal is to alleviate pain and improve mobility. After surgery, physical therapy may be necessary for full recovery.

21 services18 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

20 services12 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

19 services12 patients

Repair of toe tendon 28010

A repair of a toe tendon is a surgical procedure to fix a damaged or torn tendon in your toe. This helps restore movement and reduce pain. The procedure involves making a small incision, mending the damaged tendon, and then closing the wound. Post-surgery, physical therapy may be needed for full recovery.

17 services15 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

16 services11 patients

Partial removal of infected foot or heel bone 28120

This procedure involves the surgical removal of a portion of your foot or heel bone that has become infected. By removing the infected area, it aids in stopping the spread of the infection. You'll receive anesthesia for comfort during the operation. Post-surgery care is necessary for recovery.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

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.

90.38/100

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

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

3%279 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

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

42%209 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

35%279 patients2/55-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…

27%293 patients2/55-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 2

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

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

4 suppliers28 claims28 services$61.62 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

7 suppliers42 claims42 services$216.29 avg. paid by Medicare

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

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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.

HELEN K KOSELKA M.D.

Internal Medicine

3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220

Hamilton County (513) 528-5600

HELMUT F SCHELLHAS MD

Obstetrics & Gynecology (Gynecologic Oncology)

3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220

Hamilton County (513) 862-1888

FOR WOMEN INC

Obstetrics & Gynecology

3219 CLIFTON AVE, SUITE 125
CINCINNATI, OH 45220

Hamilton County (513) 563-2030

JACK B BASIL MD

Obstetrics & Gynecology (Gynecologic Oncology)

3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220

Hamilton County (513) 862-1888

DR. KENNETH J NEWMARK M.D.

Internal Medicine (Nephrology)

3219 CLIFTON AVE, #325
CINCINNATI, OH 45220

Hamilton County (513) 861-0800

DR. ROBERT K HUTCHINS MD

Ophthalmology

3219 CLIFTON AVE, SUITE 210
CINCINNATI, OH 45220

Hamilton County (513) 861-7575

DR. AMIR IZHAR M.D.

Internal Medicine (Nephrology)

3219 CLIFTON AVE, #325
CINCINNATI, OH 45220

Hamilton County (513) 861-0800

SAMARITAN OB GYN INC

Obstetrics & Gynecology

3219 CLIFTON AVE, SUITE 230
CINCINNATI, OH 45220

Hamilton County (513) 559-9411

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 Robert Raines's NPI number?

The NPI number for Robert Raines is 1427040831. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Robert Raines located?

Robert Raines practices at 3219 Clifton Ave Suite 300, Cincinnati, OH 45220. The listed phone number is (513) 354-3700.

What is Robert Raines's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Robert Raines enrolled in Medicare?

Yes. Robert Raines 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 Robert Raines accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Robert Raines 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 Robert Raines affiliated with any hospitals?

According to CMS data, Robert Raines is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Robert Raines was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.