DR. RAFFI DAVID KARAPETIAN D.O.
NPI 1881854412
Ophthalmology in Mount Pleasant, WI

Q: What is Raffi Karapetian's NPI number?

The NPI number for Raffi Karapetian is 1881854412. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is Raffi Karapetian's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Raffi Karapetian was last updated on January 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment

82.28/100

CMS Quality Rating

5802 WASHINGTON AVE, STE 102, MOUNT PLEASANT, WI 53406(262) 886-9100(262) 886-9130 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Raffi David Karapetian D.o. NPPES

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

DR. RAFFI DAVID KARAPETIAN D.O. (NPI 1881854412) is an individual ophthalmology provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (57183-21) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1881854412

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. RAFFI DAVID KARAPETIANCredential: D.O.

Location Address5802 WASHINGTON AVE, STE 102Mount Pleasant, WI 53406-4050

Mailing Address5802 Washington Ave, Ste 102Mount Pleasant, WI 53406-4050 · (262) 886-9100 · Fax (262) 886-9130

Phone(262) 886-9100

Fax(262) 886-9130

Sole ProprietorYes

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008

Enumeration DateJune 17, 2008

Last NPPES UpdateJanuary 16, 2015

✔ NPI 1881854412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 57183-21

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5802 WASHINGTON AVE, Mount Pleasant, WI 53406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network 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. Raffi David Karapetian 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 ID8022267343

PECOS Enrollment IDI20121002000420

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 19

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

2,773 services194 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

713 services496 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

638 services612 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

199 services17 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

189 services189 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

182 services181 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

174 services160 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

173 services173 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

107 services80 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

95 services94 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

86 services86 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

66 services66 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

35 services33 patients

Established patient office or other outpatient visit, 10-19 minutes 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.

28 services28 patients

New patient office or other outpatient visit, 45-59 minutes 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.

22 services22 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

19 services19 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

18 services18 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

11 services11 patients

Cataract surgery NAN11

Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.

0 services938 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

82.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

40.94

Other Providers at the Same Location NPPES 13

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

DENNIS J KONTRA MD

Ophthalmology

5802 WASHINGTON AVE, STE 102
RACINE, WI 53406

Racine County (262) 886-9100

DJ KONTRA MD & ASSOCIATES SC

Ophthalmology

5802 WASHINGTON AVE, STE 102
RACINE, WI 53406

Racine County (262) 886-9100

DR. JEFFREY M JANOSIK

Dentist

5802 WASHINGTON AVE, SUITE 205
RACINE, WI 53406

Racine County (262) 884-0606

BARRY M ALTENBERG MD SC

Clinic/Center

5802 WASHINGTON AVE
RACINE, WI 53406

Racine County (262) 886-5700

DR. EDWARD CHENG DDS

Dentist (General Practice)

5802 WASHINGTON AVE, STE 202
RACINE, WI 53406

Racine County (262) 886-1957

FAMILY FOOT CLINICS OF WISCONSIN SC

Podiatrist (Foot & Ankle Surgery)

5802 WASHINGTON AVE, SUITE 103
RACINE, WI 53406

Racine County (262) 637-8806

SURGICENTER OF RACINE LTD

Clinic/Center (Ambulatory Surgical)

5802 WASHINGTON AVE, STE 204
RACINE, WI 53406

Racine County (261) 886-9100

DARYL L KRUSE OD

Optometrist

5802 WASHINGTON AVE
MOUNT PLEASANT, WI 53406

Racine County (414) 955-2020

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 Raffi Karapetian's NPI number?

The NPI number for Raffi Karapetian is 1881854412. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Raffi Karapetian located?

Raffi Karapetian practices at 5802 Washington Ave Ste 102, Mount Pleasant, WI 53406. The listed phone number is (262) 886-9100.

What is Raffi Karapetian's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Raffi Karapetian enrolled in Medicare?

Yes. Raffi Karapetian 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 Raffi Karapetian accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Quartz list Raffi Karapetian 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 Raffi Karapetian affiliated with any hospitals?

According to CMS data, Raffi Karapetian is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Raffi Karapetian was last updated on January 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.