RAUL DELROSARIO M.D.
NPI 1548367402
Pathology - Dermatopathology in Laguna Beach, CA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
31872 COAST HWY, LAGUNA BEACH, CA 92651(949) 499-7288 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raul Delrosario M.d. NPPES

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

RAUL DELROSARIO M.D. (NPI 1548367402) is an individual dermatopathology provider in Laguna Beach, California, licensed in California (A56061) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1548367402
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameRAUL DELROSARIOCredential: M.D.
Location Address31872 COAST HWYLaguna Beach, CA 92651-6773
Mailing Address1 Hoag DrNewport Beach, CA 92663-4162 · (949) 764-4624 · Fax (949) 764-5435
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 26, 2019
NPI 1548367402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License Licensed in CA · A56061
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License A56061 (CA)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License A56061 (CA)
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License A56061 (CA)
31872 COAST HWY, Laguna Beach, CA 92651

Other Identifiers 1

Medicaid00A560610CA

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

Raul Delrosario 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 ID3274420641
PECOS Enrollment IDI20040301000890
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,985 services1,932 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
170 services167 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
139 services121 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
112 services45 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
94 services75 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
93 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92651 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.71
Improvement Activities40

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.

Nurse Practitioner
31872 COAST HWY
LAGUNA BEACH, CA 92651
Pathology (Dermatopathology)
31872 COAST HWY, SOUTH COAST MEDICAL CENTER, PATHOLOGY DEPT
LAGUNA BEACH, CA 92651
Emergency Medicine
31872 COAST HWY
LAGUNA BEACH, CA 92651
Psychiatry & Neurology (Psychiatry)
31872 COAST HWY
LAGUNA BEACH, CA 92651
Psychiatric Unit
31872 COAST HWY
LAGUNA BEACH, CA 92651
Emergency Medicine
31872 COAST HWY
LAGUNA BEACH, CA 92651
Internal Medicine
31872 COAST HWY
LAGUNA BEACH, CA 92651
Anesthesiology
31872 COAST HWY
LAGUNA BEACH, CA 92651

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 Raul Delrosario's NPI number?

The NPI number for Raul Delrosario is 1548367402. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Raul Delrosario located?

Raul Delrosario practices at 31872 Coast Hwy, Laguna Beach, CA 92651. The listed phone number is (949) 499-7288.

What is Raul Delrosario's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Raul Delrosario enrolled in Medicare?

Yes. Raul Delrosario 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.

When was this NPI record last updated?

The NPPES record for Raul Delrosario was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.