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DR. SARAH LYNN RAINES D.O.
NPI 1922315217
Obstetrics & Gynecology in Centerville, OH

Active since September 08, 2010PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459(937) 848-4850(937) 848-4858 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2021, Nov 6, 2018 (2 updates tracked since 2018).

About Dr. Sarah Lynn Raines D.o. NPPES

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

DR. SARAH LYNN RAINES D.O. (NPI 1922315217) is an individual obstetrics & gynecology provider in Centerville, Ohio, licensed in Ohio (34.011280) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1922315217
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SARAH LYNN RAINESCredential: D.O.
Location Address6438 WILMINGTON PIKE, SUITE 300Centerville, OH 45459-7022
Mailing Address6438 Wilmington Pike Ste 300Centerville, OH 45459-7021 · (937) 848-4850 · Fax (937) 848-4858
Phone(937) 848-4850
Fax(937) 848-4858
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 8, 2010
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
✔ NPI 1922315217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 34.011280✔ Licensed in AL · DO.1161
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6438 WILMINGTON PIKE, Centerville, OH 45459
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Other Identifiers 1

Medicaid0100586OH

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. Sarah Lynn Raines 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 ID4981899218
PECOS Enrollment IDI20140507000966
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 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.
22 services13 patients
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.
13 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

OAK CREEK OB GYN INC
Obstetrics & Gynecology
6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459
Montgomery County (937) 848-4850
DR. ROBERT A. LITTLE M.D.
Obstetrics & Gynecology
6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459
Montgomery County (937) 848-4850
KETTERING INDEPENDENT MEDICAL GROUP INC
Durable Medical Equipment & Medical Supplies
6438 WILMINGTON PIKE, SUITE 220
DAYTON, OH 45459
Montgomery County (937) 433-5309
MRS. CAROL A COOKE CRNP
Nurse Practitioner (Family)
6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459
Montgomery County (937) 848-4850
JOHN E. MURPHY, III
Family Medicine
6438 WILMINGTON PIKE, SUITE110
CENTERVILLE, OH 45459
Montgomery County (937) 848-4121
BARRY A FISHER MD
Family Medicine
6438 WILMINGTON PIKE, SUITE 100
DAYTON, OH 45459
Montgomery County (937) 885-7362
SABA QURESHI
Family Medicine
6438 WILMINGTON PIKE, SUITE 100
DAYTON, OH 45459
Montgomery County (937) 558-3840
VALERIE ELAINE COOPER D.D.S.
Dentist (Prosthodontics)
6438 WILMINGTON PIKE, SUITE 205
DAYTON, OH 45459
Montgomery County (937) 254-5760

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 Sarah Raines's NPI number?

The NPI number for Sarah Raines is 1922315217. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Sarah Raines located?

Sarah Raines practices at 6438 Wilmington Pike Suite 300, Centerville, OH 45459. The listed phone number is (937) 848-4850.

What is Sarah Raines's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sarah Raines enrolled in Medicare?

Yes. Sarah Raines 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 Sarah Raines accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Sarah Raines 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 Sarah Raines affiliated with any hospitals?

According to CMS data, Sarah Raines is affiliated with Kettering Health Main Campus, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Sarah Raines was last updated on January 4, 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.