JASON TREVOR WRAY-RAABOLLE MD
NPI 1457311102
Family Medicine in Owatonna, MN

Q: What is Jason Wray-raabolle's NPI number?

The NPI number for Jason Wray-raabolle is 1457311102. It was assigned to this individual provider in the NPPES registry on March 26, 2006.

Q: What is Jason Wray-raabolle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 26, 2006PECOS EnrolledAccepts Medicare Assignment

2200 NW 26TH ST, OWATONNA, MN 55060(507) 451-1120(507) 444-6287 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2024, Jan 7, 2021 (2 updates tracked since 2021).

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About Jason Trevor Wray-raabolle Md NPPES

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

JASON TREVOR WRAY-RAABOLLE MD (NPI 1457311102) is an individual family medicine provider in Owatonna, Minnesota, licensed in Minnesota (44291) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1457311102

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJASON TREVOR WRAY-RAABOLLECredential: MD

Location Address2200 NW 26TH STOwatonna, MN 55060-5503

Mailing Address2200 Nw 26th StOwatonna, MN 55060-5503 · (507) 451-1120 · Fax (507) 444-6287

Phone(507) 451-1120

Fax(507) 444-6287

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998

Enumeration DateMarch 26, 2006

Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1457311102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 44291

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2200 NW 26TH ST, Owatonna, MN 55060

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Other Identifiers 1

Medicaid347168300MN

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

Jason Trevor Wray-raabolle 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 ID5597846030

PECOS Enrollment IDI20100303000770

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 Reassignment

Medicare enrollment records show Jason Wray-raabolle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-Southeast Minnesota Region

Same address

Multi-Specialty

2200 NW 26TH ST
Owatonna, MN 55060

Reassigned Medicare billing, Minnesota enrollment
1,571 clinicians in this Medicare group

NPI 1275060030 (507) 451-1120

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 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.

129 services65 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.

57 services57 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.

46 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

44 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

37 services37 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240043

Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County

Emergency services Birthing friendly

Owatonna Hospital

Acute Care Hospitals · Owatonna, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240069

Location2250 26th Street NorthwestOwatonna, MN 55060 · Steele County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241345

Location501 North State StreetWaseca, MN 56093 · Waseca County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55060 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$65.15 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers15 claims86 services$2.30 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.49 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

2 suppliers14 claims14 services$119.62 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

1 supplier11 claims11 services$168.52 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$38.23 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.

KAYLA MARIE COOK PA-C

Physician Assistant