DR. PAURAVI N RAVAL DPM MS
NPI 1659451557
Podiatrist in Waldwick, NJ

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
36 FRANKLIN TPKE, WALDWICK, NJ 07463(201) 251-0911(201) 251-7788 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pauravi N Raval Dpm Ms NPPES

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

DR. PAURAVI N RAVAL DPM MS (NPI 1659451557) is an individual podiatrist in Waldwick, New Jersey, licensed in New Jersey (MD001953) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of New York College Of Podiatric Medicine (1988).

NPPES Registry Identity

NPI1659451557
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. PAURAVI N RAVALCredential: DPM MS
Location Address36 FRANKLIN TPKEWaldwick, NJ 07463-1755
Mailing Address36 Franklin TpkeWaldwick, NJ 07463-1755 · (201) 251-0911 · Fax (201) 251-7788
Fax(201) 251-7788
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1988
Enumeration DateOctober 16, 2006
Last NPPES UpdateSeptember 17, 2015
NPI 1659451557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NJ · MD001953
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
36 FRANKLIN TPKE, Waldwick, NJ 07463

Other Identifiers 3

Medicare UPIN619322
Medicaid5160006NJ
Medicare PINU02017NJ

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

Dr. Pauravi N Raval Dpm Ms 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 ID8628166386
PECOS Enrollment IDI20071113000470
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 13

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.
585 services179 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
487 services172 patients
Removal of skin of fingernail or toenail 11765
This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.
399 services106 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.
272 services114 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
64 services22 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
60 services45 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07463 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.49
Improvement Activities40

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%81 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
99%81 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
2%51 patients5/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
98%1,504 patients4/55-star benchmark: 100%
Falls: Plan of Care
96%112 patients
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.

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$61.31 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier17 claims102 services$25.01 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 4

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

Social Worker (Clinical)
36 FRANKLIN TPKE
WALDWICK, NJ 07463
Social Worker (Clinical)
36 FRANKLIN TPKE
WALDWICK, NJ 07463
Counselor (Professional)
36 FRANKLIN TPKE
WALDWICK, NJ 07463
Podiatrist
36 FRANKLIN TPKE
WALDWICK, NJ 07463

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 Pauravi Raval's NPI number?

The NPI number for Pauravi Raval is 1659451557. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Pauravi Raval located?

Pauravi Raval practices at 36 Franklin Tpke, Waldwick, NJ 07463. The listed phone number is (201) 251-0911.

What is Pauravi Raval's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Pauravi Raval enrolled in Medicare?

Yes. Pauravi Raval 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 Pauravi Raval affiliated with any hospitals?

According to CMS data, Pauravi Raval is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Pauravi Raval was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.