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DR. DERRICK RAPTIS M.D.
NPI 1679749683
Internal Medicine - Pulmonary Disease in Pomona, CA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
1940 N ORANGE GROVE AVE STE A, POMONA, CA 91767(909) 865-6900(909) 865-6300 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, May 6, 2021, Sep 13, 2018 (3 updates tracked since 2018).

About Dr. Derrick Raptis M.d. NPPES

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

DR. DERRICK RAPTIS M.D. (NPI 1679749683) is an individual pulmonary disease provider in Pomona, California, licensed in California (A117405) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679749683
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DERRICK RAPTISCredential: M.D.
Location Address1940 N ORANGE GROVE AVE STE APomona, CA 91767-3002
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1488
Phone(909) 865-6900
Fax(909) 865-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 30, 2008
Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1679749683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in CA · A117405✔ Licensed in NY · 249226
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A117405 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 249226 (NY), A117405 (CA)
1940 N ORANGE GROVE AVE STE A, Pomona, CA 91767
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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 and accepts Medicare assignment

Dr. Derrick Raptis 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 ID9931368545
PECOS Enrollment IDI20120316000326
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
316 services122 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
293 services134 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
57 services20 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
24 services22 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.
20 services14 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers15 claims15 services$31.63 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers17 claims89 services$15.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers15 claims15 services$44.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers19 claims114 services$1.67 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$35.52 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 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 3

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

DR. DALLIS QUANG NGO D.O., M.S.
Internal Medicine (Pulmonary Disease)
1940 N ORANGE GROVE AVE STE A
POMONA, CA 91767
Los Angeles County (909) 865-6900
DR. RAKESH SINHA M.B.B.S., M.D.
Internal Medicine (Pulmonary Disease)
1940 N ORANGE GROVE AVE STE A
POMONA, CA 91767
Los Angeles County (909) 865-6900
ANTHONY GAN
Internal Medicine (Pulmonary Disease)
1940 N ORANGE GROVE AVE STE A
POMONA, CA 91767
Los Angeles County (909) 865-6900

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 Derrick Raptis's NPI number?

The NPI number for Derrick Raptis is 1679749683. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Derrick Raptis located?

Derrick Raptis practices at 1940 N Orange Grove Ave Ste A, Pomona, CA 91767. The listed phone number is (909) 865-6900.

What is Derrick Raptis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Derrick Raptis enrolled in Medicare?

Yes. Derrick Raptis 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 Derrick Raptis was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.