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ELSA K RAYMOND NP
NPI 1972057420
Nurse Practitioner - Family in O Fallon, IL

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
916 TALON DR, SUITE 102, O FALLON, IL 62269(618) 628-8211(618) 628-0883 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elsa K Raymond Np NPPES

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

ELSA K RAYMOND NP (NPI 1972057420) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209014542) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972057420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELSA K RAYMONDCredential: NP
Location Address916 TALON DR, SUITE 102O Fallon, IL 62269-1848
Mailing Address916 Talon Dr, Suite 102O Fallon, IL 62269-1848 · (618) 628-8211 · Fax (618) 628-0883
Phone(618) 628-8211
Fax(618) 628-0883
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
✔ NPI 1972057420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014542
916 TALON DR, O Fallon, IL 62269
Open in Google Maps ↗

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

Elsa K Raymond Np 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 ID8729373121
PECOS Enrollment IDI20160824002127
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 5

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.
1,101 services247 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.
118 services84 patients
Electronic analysis of spinal canal drug infusion pump 62367
Electronic analysis of a spinal canal drug infusion pump is a procedure to check how well your medication pump is functioning. This pump delivers pain-relieving drugs directly to your spinal canal. The analysis ensures the correct dosage and proper functioning of the device.
62 services17 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.
38 services38 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
35 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
1 supplier19 claims19 services$1,079.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

MR. RALPH DOUGLAS SPAFFORD P.A.-C
Physician Assistant (Medical)
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
MISS JESSICA ANN ZIMMERMAN MPT
Physical Therapist
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
SARA M LESTER MPT
Physical Therapist (Orthopedic)
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
DR. KRISTEN LYN PITTS DPT, PT
Physical Therapist
916 TALON DR
O FALLON, IL 62269
St. Clair County (618) 628-8211
JOHN STEVE VICK DC
Chiropractor
916 TALON DR, STE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
DME EDGE LLC
Durable Medical Equipment & Medical Supplies
916 TALON DR, SUITE B
O FALLON, IL 62269
St. Clair County (314) 799-2247
APG MEDICAL LABORATORY
Clinical Medical Laboratory
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
ASSOCIATED PHYSICIANS GROUP
Chiropractor
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211

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 Elsa Raymond's NPI number?

The NPI number for Elsa Raymond is 1972057420. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Elsa Raymond located?

Elsa Raymond practices at 916 Talon Dr Suite 102, O Fallon, IL 62269. The listed phone number is (618) 628-8211.

What is Elsa Raymond's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elsa Raymond enrolled in Medicare?

Yes. Elsa Raymond 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.

Is Elsa Raymond affiliated with any hospitals?

According to CMS data, Elsa Raymond is affiliated with Gateway Regional Medical Center, Hshs St Elizabeth's Hospital, Anderson Hospital, Community Hospital Of Staunton and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Elsa Raymond was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.