PAUL EDWARD RABER DO
NPI 1740394428
Family Medicine in Madison, GA

Q: What is Paul Raber's NPI number?

The NPI number for Paul Raber is 1740394428. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Paul Raber's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Raber was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

1550 EATONTON RD, MADISON, GA 30650(706) 752-0322(978) 327-7921 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2021, Apr 24, 2020 (2 updates tracked since 2020).

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About Paul Edward Raber Do NPPES

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

PAUL EDWARD RABER DO (NPI 1740394428) is an individual family medicine provider in Madison, Georgia, licensed in Georgia (042704) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Morgan Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (1995).

NPPES Registry Identity

NPI1740394428

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL EDWARD RABERCredential: DO

Location Address1550 EATONTON RDMadison, GA 30650-4627

Mailing AddressPo Box 209Madison, GA 30650-0209 · (706) 752-0322 · Fax (978) 327-7921

Phone(706) 752-0322

Fax(978) 327-7921

Sole ProprietorYes

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1995

Enumeration DateAugust 18, 2006

Last NPPES UpdateMay 7, 20212 updates tracked since enumeration

NPPES CertifiedMay 7, 2021

✔ NPI 1740394428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 042704

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1550 EATONTON RD, Madison, GA 30650

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Other Identifiers 1

Medicaid000739252KGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Edward Raber Do 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 ID547262792

PECOS Enrollment IDI20070201000218

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Raber reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Medical Associates, PC

Same address

Primary Care

1550 EATONTON RD
Madison, GA 30650

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1801080288 (706) 752-0322

After Hours Urgent Care, LLC

0.1 mi

Urgent Care

1550 EATONTON RD
Madison, GA 30650

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1376089011 (706) 438-6486

Cogent Healthcare Of Georgia PC

50 mi

Internal Medicine

400 CHARTER BLVD
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
635 clinicians in this Medicare group

NPI 1609827823 (478) 757-8200

Southland Cochran Emergency Medical Services, LLC

81 mi

Emergency Medicine

145 PEACOCK ST.
Cocharan, GA 31014

Reassigned Medicare billing, Georgia enrollment
52 clinicians in this Medicare group

NPI 1205241395 (478) 934-6211

Southland Emergency Medical Services Consolidated, LLC

82 mi

Hospitalist

145 E PEACOCK ST
Cochran, GA 31014

Reassigned Medicare billing, Georgia enrollment
155 clinicians in this Medicare group

NPI 1033464391 (478) 934-6211

Southland Taylor Hospitalist Group, LLC

88 mi

Hospitalist

222 PERRY HWY
Hawkinsville, GA 31036

Reassigned Medicare billing, Georgia enrollment
29 clinicians in this Medicare group

NPI 1093120909 (478) 783-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

212 services123 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.

103 services69 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

62 services57 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

49 services48 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

45 services45 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.

42 services42 patients

Hospital Affiliations CMS Care Compare

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

Morgan Medical Center

Critical Access Hospitals · Madison, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111304

Location1740 Lions Club RoadMadison, GA 30650 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30650 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

43%365 patients2/55-star benchmark: 92%

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

86%80 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

19%730 patients1/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

17%265 patients1/55-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.

99%10,482 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%577 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

81%1,966 patients4/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

33%1,275 patients2/55-star benchmark: 88%

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…

80%1,966 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…

5%1,966 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

21%1,966 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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers15 claims15 services$185.05 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 9

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

ELAINE SHAW HODGES MD

Family Medicine