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LYDIA JOY RAYES D.O.
NPI 1740625524
Family Medicine in Roseville, MI

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
18303 E 10 MILE RD, SUITE 500, ROSEVILLE, MI 48066(586) 498-5160(586) 498-5199 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2016, Dec 30, 2015 (2 updates tracked since 2015).

About Lydia Joy Rayes D.o. NPPES

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

LYDIA JOY RAYES D.O. (NPI 1740625524) is an individual family medicine provider in Roseville, Michigan, licensed in Michigan (5101020473) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1740625524
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLYDIA JOY RAYESCredential: D.O.
Location Address18303 E 10 MILE RD, SUITE 500Roseville, MI 48066-4988
Mailing Address18303 E 10 Mile Rd, Suite 500Roseville, MI 48066-4988 · (586) 498-5160 · Fax (586) 498-5199
Phone(586) 498-5160
Fax(586) 498-5199
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateSeptember 13, 20162 updates tracked since enumeration
✔ NPI 1740625524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101020473
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.

18303 E 10 MILE RD, Roseville, MI 48066
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Other Identifiers 2

Medicare PINMI3971119MI
Other5501705MI · Bcbs Individual Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Lydia Joy Rayes D.o. 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 ID5092011742
PECOS Enrollment IDI20160425000926
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 3

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.
130 services62 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.
44 services32 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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
63%331 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
56%539 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
64%562 patients4/55-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
50%60 patients3/55-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.
97%2,564 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
70%451 patients4/55-star benchmark: 88%
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%238 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.
39%1,461 patients2/55-star benchmark: 97%
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…
87%1,461 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…
39%1,461 patients2/55-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.
46%1,461 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.

Other Providers at the Same Location NPPES 16

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

YVETTE MCCOY-RODGERS
Social Worker (Clinical)
18303 E 10 MILE RD
ROSEVILLE, MI 48066
Macomb County (586) 204-1576
MS. GENNEA NICKOLE MOORE LLP
Psychologist
18303 E 10 MILE RD
ROSEVILLE, MI 48066
Macomb County (248) 469-9519
DR. MAJID ALZAGOUM M.D.
Internal Medicine (Cardiovascular Disease)
18303 E 10 MILE RD, SUITE 100
ROSEVILLE, MI 48066
Macomb County (586) 776-8877
DR. MOHAMAD K. AJJOUR M.D.
Internal Medicine (Cardiovascular Disease)
18303 E 10 MILE RD, SUITE 100
ROSEVILLE, MI 48066
Macomb County (586) 776-8877
CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C.
Internal Medicine (Cardiovascular Disease)
18303 E 10 MILE RD, SUITE 100
ROSEVILLE, MI 48066
Macomb County (586) 776-8877
EDWARD FITZPATRICK D.D.S.
Dentist (Endodontics)
18303 E 10 MILE RD, SUITE 150
ROSEVILLE, MI 48066
Macomb County (586) 773-2000
DR. JOEL C ENGEL DO
Internal Medicine (Cardiovascular Disease)
18303 E 10 MILE RD, SUITE 100
ROSEVILLE, MI 48066
Macomb County (586) 776-8877
DR. SUBHI SBAHI M.D.
Internal Medicine (Cardiovascular Disease)
18303 E 10 MILE RD, SUITE 100
ROSEVILLE, MI 48066
Macomb County (586) 776-8877

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 Lydia Rayes's NPI number?

The NPI number for Lydia Rayes is 1740625524. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Lydia Rayes located?

Lydia Rayes practices at 18303 E 10 Mile Rd Suite 500, Roseville, MI 48066. The listed phone number is (586) 498-5160.

What is Lydia Rayes's specialty?

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

Is Lydia Rayes enrolled in Medicare?

Yes. Lydia Rayes 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.

What insurance does Lydia Rayes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lydia Rayes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lydia Rayes affiliated with any hospitals?

According to CMS data, Lydia Rayes is affiliated with Henry Ford Health Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Lydia Rayes was last updated on September 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.