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MANISH RAI D.O.
NPI 1619137627
Internal Medicine in Lebanon, PA

Active since June 12, 2008PECOS Enrolled
95.64/100
CMS Quality Rating
1700 S LINCOLN AVE, LEBANON, PA 17042(717) 272-6621 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2024, Jul 3, 2019 (2 updates tracked since 2019).

About Manish Rai D.o. NPPES

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

MANISH RAI D.O. (NPI 1619137627) is an individual internal medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (OS013878) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619137627
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANISH RAICredential: D.O.
Location Address1700 S LINCOLN AVELebanon, PA 17042-7529
Mailing Address1700 S Lincoln AveLebanon, PA 17042-7529 · (717) 272-6621
Phone(717) 272-6621
Sole ProprietorNo
Enumeration DateJune 12, 2008
Last NPPES UpdateDecember 8, 20242 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
✔ NPI 1619137627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS013878
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 S LINCOLN AVE, Lebanon, PA 17042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manish Rai D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11

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.
359 services251 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.
172 services172 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.
117 services102 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.
87 services73 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
32 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers16 claims42 services$6.60 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$40.67 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.

RANDALL CRAIG HAINES
Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
MS. DIANE BROWN M.A. CCC-A
Audiologist
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
KAREN A ROGERS PA-C
Physician Assistant
1700 S LINCOLN AVE, LEBANON VAMC
LEBANON, PA 17042
Lebanon County (717) 272-6621
WAYNE LAWRENCE ROFFER PSY.D.
Psychologist (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
REBECCA SANDERS LCSW
Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
DR. JASON REESE D.O.
Internal Medicine (Cardiovascular Disease)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
AIRIKA POLLARD LSW
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 222-0164
MISS SHAYLA RAE LEE LSW
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 847-1249

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 Manish Rai's NPI number?

The NPI number for Manish Rai is 1619137627. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Manish Rai located?

Manish Rai practices at 1700 S Lincoln Ave, Lebanon, PA 17042. The listed phone number is (717) 272-6621.

What is Manish Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manish Rai enrolled in Medicare?

Yes. Manish Rai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manish Rai was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.