JOEL R. RAINWATER M.D.
NPI 1518956499
Radiology - Diagnostic Radiology in Gilbert, AZ

Q: What is Joel Rainwater's NPI number?

The NPI number for Joel Rainwater is 1518956499. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Joel Rainwater's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Joel Rainwater was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

838 W ELLIOT RD STE 101, GILBERT, AZ 85233(480) 374-7354 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Mar 4, 2021, Mar 17, 2018 (3 updates tracked since 2018).

On this page

About Joel R. Rainwater M.d. NPPES

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

JOEL R. RAINWATER M.D. (NPI 1518956499) is an individual diagnostic radiology provider in Gilbert, Arizona, licensed in Arizona (25390) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1518956499

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOEL R. RAINWATERCredential: M.D.

Location Address838 W ELLIOT RD STE 101Gilbert, AZ 85233-5162

Mailing Address838 W Elliot Rd Ste 101Gilbert, AZ 85233-5162 · (480) 374-7354

Phone(480) 374-7354

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991

Enumeration DateOctober 13, 2005

Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1518956499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AZ · 25390

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 25390 (AZ)

838 W ELLIOT RD STE 101, Gilbert, AZ 85233

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Other Identifiers 1

Medicaid385999AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., University of Utah Health Plans.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

Joel R. Rainwater M.d. 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 ID1759285471

PECOS Enrollment IDI20031124000791

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 22

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 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.

231 services188 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.

124 services124 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

120 services91 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

117 services103 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

117 services79 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

94 services68 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

92 services80 patients

Ultrasonic guidance for blood vessel access 76937

90 services70 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

80 services61 patients

Review by radiologist of arm or leg artery image 75710

80 services69 patients

Removal of plaque in artery of leg, initial vessel 37229

71 services61 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.

52 services52 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services34 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

35 services30 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.

30 services30 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

29 services29 patients

Balloon dilation of artery of leg, each additional vessel 37232

Balloon dilation of the artery of the leg, for each additional vessel, is a procedure to open up blocked arteries. A small balloon is inserted and inflated to widen the artery, improving blood flow to the leg.

28 services25 patients

Removal of plaque in arteries of leg 37225

27 services26 patients

Balloon dilation of artery of leg, each additional vessel 37232

19 services14 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

13 services13 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

13 services13 patients

Occlusion of artery with review by radiologist 37242

This procedure involves blocking an artery to manage certain conditions. A radiologist, a doctor specialized in imaging techniques, reviews the process to ensure accuracy and effectiveness. It's a safe, controlled method used in various treatments.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320009

Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County

Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320017

Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County

Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipProprietary

CMS Certification Number320074

Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85233 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,328 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

3%153 patients1/55-star benchmark: 100%

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…

98%555 patients4/55-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…

18%840 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

58%31 patients3/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

72%316 patients3/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

98%250 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

9%250 patients1/55-star benchmark: 59%

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.

Other Providers at the Same Location NPPES 2

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

KAIRON MEDICAL LLC

Radiology (Diagnostic Radiology)

838 W ELLIOT RD STE 101
GILBERT, AZ 85233

Maricopa County (480) 374-7354

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

Radiology (Vascular & Interventional Radiology)

838 W ELLIOT RD STE 101
GILBERT, AZ 85233

Maricopa County (480) 374-7354

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 Joel Rainwater's NPI number?

The NPI number for Joel Rainwater is 1518956499. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Joel Rainwater located?

Joel Rainwater practices at 838 W Elliot Rd Ste 101, Gilbert, AZ 85233. The listed phone number is (480) 374-7354.

What is Joel Rainwater's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joel Rainwater enrolled in Medicare?

Yes. Joel Rainwater 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 Joel Rainwater accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and University of Utah Health Plans list Joel Rainwater 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 Joel Rainwater affiliated with any hospitals?

According to CMS data, Joel Rainwater is affiliated with Lovelace Medical Center, Lovelace Women's Hospital and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Joel Rainwater was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.