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RAZA ASHRAF D.O.
NPI 1508249459
Family Medicine in Binghamton, NY

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
161 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 772-2995 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Oct 30, 2019, Feb 8, 2019 and 1 more (4 updates tracked since 2018).

About Raza Ashraf D.o. NPPES

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

RAZA ASHRAF D.O. (NPI 1508249459) is an individual family medicine provider in Binghamton, New York, licensed in New York (0295533) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains a secondary practice location in Altoona.

NPPES Registry Identity

NPI1508249459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAZA ASHRAFCredential: D.O.
Location Address161 RIVERSIDE DRBinghamton, NY 13905
Mailing Address1115 Four Leaf LnHollidaysburg, PA 16648-2514 · (646) 644-7198
Phone(607) 772-2995
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateMarch 24, 20214 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1508249459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 0295533✔ Licensed in PA · OT016573
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.
161 RIVERSIDE DR, Binghamton, NY 13905
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Secondary Practice Location 1

Location 1501 Howard Ave, SUITE F2Altoona, PA 16601-4810 · Phone (814) 889-2701 · Fax (814) 889-7864

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

Raza Ashraf D.o. 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 ID4486949013
PECOS Enrollment IDI20180911003133
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 4

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.
343 services168 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.
90 services90 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services51 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.
19 services17 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 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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

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
5 suppliers23 claims67 services$6.41 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.

DR. THOMAS PARSLEY MD
Internal Medicine
161 RIVERSIDE DR, SUITE 306
BINGHAMTON, NY 13905
Broome County (607) 798-6700
BINGHAMTON PLASTIC SURGERY, PLLC
Specialist
161 RIVERSIDE DR, SUITE 106
BINGHAMTON, NY 13905
Broome County (607) 729-0101
SANDY NASR MD
Internal Medicine (Rheumatology)
161 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-1842
MARK A DREHER DDS MD PC
Dentist
161 RIVERSIDE DR, SUITE 201
BINGHAMTON, NY 13905
Broome County (607) 748-7169
DR. DAVID C DREYFUSS M.D.
Surgery
161 RIVERSIDE DR, SUITE 105
BINGHAMTON, NY 13905
Broome County (607) 770-9471
CELESTE R KEEFE C.N.M.
Advanced Practice Midwife
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074
JEROME C COHEN, MD, PC
Internal Medicine (Gastroenterology)
161 RIVERSIDE DR, SUITE 210
BINGHAMTON, NY 13905
Broome County (607) 770-1155
LINDA S DICKEY R.N.C.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074

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 Raza Ashraf's NPI number?

The NPI number for Raza Ashraf is 1508249459. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Raza Ashraf located?

Raza Ashraf practices at 161 Riverside Dr, Binghamton, NY 13905. The listed phone number is (607) 772-2995.

What is Raza Ashraf's specialty?

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

Is Raza Ashraf enrolled in Medicare?

Yes. Raza Ashraf 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 Raza Ashraf accept?

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

According to CMS data, Raza Ashraf 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 Raza Ashraf was last updated on March 24, 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.