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DR. JAGRAJ S RAI MD
NPI 1437220084
Internal Medicine in Vestal, NY

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1020 VESTAL PKWY E, VESTAL, NY 13850(607) 754-5342(607) 754-5508 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jagraj S Rai Md NPPES

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

DR. JAGRAJ S RAI MD (NPI 1437220084) is an individual internal medicine provider in Vestal, New York, licensed in New York (189823) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1437220084
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAGRAJ S RAICredential: MD
Location Address1020 VESTAL PKWY EVestal, NY 13850-1748
Mailing Address1020 Vestal Pkwy EVestal, NY 13850-1748 · (607) 754-5342 · Fax (607) 754-5508
Phone(607) 754-5342
Fax(607) 754-5508
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 13, 2006
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1437220084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 189823
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1020 VESTAL PKWY E, Vestal, NY 13850
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Other Identifiers 1

Medicaid01368441NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Jagraj S Rai 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 ID3678762606
PECOS Enrollment IDI20110106000657
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 3

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.
401 services212 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.
50 services40 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers42 claims88 services$5.95 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$41.06 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 supplier12 claims12 services$89.64 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
2 suppliers11 claims11 services$160.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.91 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 15

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

DR. MARIO CAPPARUCCINI M.D.
Internal Medicine
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 754-5342
DR. ALVIN GREENBERG M.D.
Internal Medicine
1020 VESTAL PKWY E, #2
VESTAL, NY 13850
Broome County (607) 754-5342
DR. KINNER A MEHTA M.D.
Internal Medicine (Geriatric Medicine)
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 754-5342
MR. ERIC GABRIELSON MPAS, PA-C
Physician Assistant (Surgical)
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 444-6868
MRS. JODI ANN SEYMOUR FNP
Nurse Practitioner
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 444-6868
NEUROSCIENCES HEALTHCARE MEDICINE, PC
Neurological Surgery
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 444-6868
DR. SHABANA JAMIL MD
Internal Medicine
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 754-5342
LISA PALKERT-DAWES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1020 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 444-6868

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 Jagraj Rai's NPI number?

The NPI number for Jagraj Rai is 1437220084. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Jagraj Rai located?

Jagraj Rai practices at 1020 Vestal Pkwy E, Vestal, NY 13850. The listed phone number is (607) 754-5342.

What is Jagraj Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jagraj Rai enrolled in Medicare?

Yes. Jagraj Rai 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 Jagraj Rai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jagraj Rai 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 Jagraj Rai affiliated with any hospitals?

According to CMS data, Jagraj Rai is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jagraj Rai was last updated on March 19, 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.