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DR. JANICE RAFFERTY MD
NPI 1871561464
Colon & Rectal Surgery in Cincinnati, OH

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
2123 AUBURN AVE, STE. 524, CINCINNATI, OH 45219(513) 929-0104(513) 929-4369 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Janice Rafferty Md NPPES

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

DR. JANICE RAFFERTY MD (NPI 1871561464) is an individual colon & rectal surgery provider in Cincinnati, Ohio, licensed in Ohio (35-059681) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1871561464
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. JANICE RAFFERTYCredential: MD
Location Address2123 AUBURN AVE, STE. 524Cincinnati, OH 45219-2906
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5506 · Fax (513) 585-5511
Phone(513) 929-0104
Fax(513) 929-4369
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateMarch 9, 2006
Last NPPES UpdateFebruary 22, 2018
✔ NPI 1871561464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in OH · 35-059681
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
2123 AUBURN AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 1

Medicaid0781159OH

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

Dr. Janice Rafferty 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 ID345273009
PECOS Enrollment IDI20050913001103
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.

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.
58 services42 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
33 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
28 services28 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.
21 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Promoting Interoperability100
Improvement Activities40
Cost77.87

Other Providers at the Same Location NPPES 20

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

DR. KIRANMAYEE LANKA M.D., M.P.H
Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
NOEMI CLEOFAS RICO-CEPPI MD
Family Medicine
2123 AUBURN AVE
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
EUGENE CHUNG M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219
Hamilton County (513) 206-1180
DR. REID ARTHUR HARTMANN M.D.
Family Medicine
2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 381-5227
JILL GAST APRN.CNP
Nurse Practitioner (Family)
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 241-4223
YOLANDA DANIELA FARHEY M.D.
Internal Medicine (Rheumatology)
2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219
Hamilton County (513) 585-1970
BRIAN REVIS MD
Internal Medicine (Nephrology)
2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219
Hamilton County (513) 241-5630

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 Janice Rafferty's NPI number?

The NPI number for Janice Rafferty is 1871561464. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Janice Rafferty located?

Janice Rafferty practices at 2123 Auburn Ave Ste. 524, Cincinnati, OH 45219. The listed phone number is (513) 929-0104.

What is Janice Rafferty's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Janice Rafferty enrolled in Medicare?

Yes. Janice Rafferty 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 Janice Rafferty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Janice Rafferty 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 Janice Rafferty affiliated with any hospitals?

According to CMS data, Janice Rafferty is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Janice Rafferty was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.