MICHAEL J RAGUSO-FAILLA MD
NPI 1497837744
Family Medicine in Little Egg Harbor, NJ

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
279 MATHISTOWN RD, LITTLE EGG HARBOR, NJ 08087(609) 296-1101 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Raguso-failla Md NPPES

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

MICHAEL J RAGUSO-FAILLA MD (NPI 1497837744) is an individual family medicine provider in Little Egg Harbor, New Jersey, licensed in New Jersey (25MA07211200) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and maintains a secondary practice location in Manahawkin.

NPPES Registry Identity

NPI1497837744
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL J RAGUSO-FAILLACredential: MD
Location Address279 MATHISTOWN RDLittle Egg Harbor, NJ 08087
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1996
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1497837744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA07211200
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.
279 MATHISTOWN RD, Little Egg Harbor, NJ 08087

Secondary Practice Location 1

Location 11301 Route 72 W, Suite 240Manahawkin, NJ 08050-2417 · Phone (609) 597-7394 · Fax (609) 597-6833

Other Identifiers 2

Medicaid001354216NJ
Other223106655Tax Id

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

Michael J Raguso-failla 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 ID4183645120
PECOS Enrollment IDI20101015001223
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 10

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.
417 services262 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.
234 services159 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.
98 services97 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.
95 services94 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
34 services12 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08087 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 3

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
12 suppliers56 claims142 services$6.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers33 claims38 services$1.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$40.00 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 8

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

Nurse Practitioner
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Orthopaedic Surgery
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Counselor (Professional)
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Nurse Practitioner (Family)
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Non-Pharmacy Dispensing Site
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087

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 Michael Raguso-failla's NPI number?

The NPI number for Michael Raguso-failla is 1497837744. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Michael Raguso-failla located?

Michael Raguso-failla practices at 279 Mathistown Rd, Little Egg Harbor, NJ 08087. The listed phone number is (609) 296-1101.

What is Michael Raguso-failla's specialty?

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

Is Michael Raguso-failla enrolled in Medicare?

Yes. Michael Raguso-failla 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 Michael Raguso-failla affiliated with any hospitals?

According to CMS data, Michael Raguso-failla is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Raguso-failla was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.