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MICHAEL C RAKLEWICZ MD
NPI 1770595027
Orthopaedic Surgery in Kingston, PA

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
390 PIERCE ST, KINGSTON, PA 18704(570) 288-3535(570) 288-0804 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael C Raklewicz Md NPPES

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

MICHAEL C RAKLEWICZ MD (NPI 1770595027) is an individual orthopaedic surgery provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD014960E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1972).

NPPES Registry Identity

NPI1770595027
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL C RAKLEWICZCredential: MD
Location Address390 PIERCE STKingston, PA 18704-5532
Mailing AddressPo Box 1463Kingston, PA 18704-0463 · (570) 288-3535 · Fax (570) 288-0804
Phone(570) 288-3535
Fax(570) 288-0804
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1972
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1770595027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD014960E
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
390 PIERCE ST, Kingston, PA 18704
Open in Google Maps ↗

Other Identifiers 2

Other90067PA · Blue Shield
Medicaid0006104670005PA

Accepted Insurance

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

Michael C Raklewicz Md 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 ID244407427
PECOS Enrollment IDI20120112000100
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
343 services145 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.
175 services110 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
120 services55 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
105 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 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.
48 services45 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

STEPHANIE GRENCAVAGE CRNP
Nurse Practitioner
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 288-3535
ORTHOPAEDIC CONSULTANTS OF WYOMING VALLEY LLC
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 288-3535
GARY THOMAS VERAZIN MD
Surgery
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-0400
MIA CHARMIAN GRULER PA-C
Physician Assistant
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 288-3535
WILLIAM P CHARLTON MD
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 288-3535
DR. FRANK OBRIEN MD
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 288-3535
DR. DANTE M PALUMBO D.O.
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 288-3535
FAMILY VISION CARE OF KINGSTON, INC.
Optometrist
390 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-2600

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 Michael Raklewicz's NPI number?

The NPI number for Michael Raklewicz is 1770595027. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Michael Raklewicz located?

Michael Raklewicz practices at 390 Pierce St, Kingston, PA 18704. The listed phone number is (570) 288-3535.

What is Michael Raklewicz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Raklewicz enrolled in Medicare?

Yes. Michael Raklewicz 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 Michael Raklewicz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Raklewicz 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 Michael Raklewicz affiliated with any hospitals?

According to CMS data, Michael Raklewicz is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Raklewicz was last updated on July 27, 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.