DR. LORAN A RAKOVICA MD
NPI 1982357687
Internal Medicine in Madison, WI

Active since February 02, 2022PECOS EnrolledAccepts Medicare Assignment
752 N HIGH POINT RD, MADISON, WI 53717(608) 824-4000(608) 824-4100 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 27, 2024, Feb 2, 2022 (2 updates tracked since 2022).

About Dr. Loran A Rakovica Md NPPES

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

DR. LORAN A RAKOVICA MD (NPI 1982357687) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (84171-20) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982357687
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LORAN A RAKOVICACredential: MD
Location Address752 N HIGH POINT RDMadison, WI 53717-2236
Mailing Address752 N High Point RdMadison, WI 53717-2236 · (608) 824-4000 · Fax (608) 824-4100
Fax(608) 824-4100
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 2, 2022
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1982357687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 84171-20
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 84171-20 (WI)
752 N HIGH POINT RD, Madison, WI 53717

Other Identifiers 1

Medicaid1982357687WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Loran A Rakovica 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 ID3375070378
PECOS Enrollment IDI20250102000900
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.

Medicare Billing Reassignment

Medicare enrollment records show Loran Rakovica reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Occupational Therapy Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Pharmacist
752 N HIGH POINT RD
MADISON, WI 53717
Dermatology
752 N HIGH POINT RD
MADISON, WI 53717
Internal Medicine
752 N HIGH POINT RD, DEAN MEDICAL CENTER
MADISON, WI 53717
Allergy & Immunology
752 N HIGH POINT RD
MADISON, WI 53717
Physician Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Internal Medicine
752 N HIGH POINT RD
MADISON, WI 53717
Preventive Medicine (Occupational Medicine)
752 N HIGH POINT RD
MADISON, WI 53717

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 Loran Rakovica's NPI number?

The NPI number for Loran Rakovica is 1982357687. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Loran Rakovica located?

Loran Rakovica practices at 752 N High Point Rd, Madison, WI 53717. The listed phone number is (608) 824-4000.

What is Loran Rakovica's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Loran Rakovica enrolled in Medicare?

Yes. Loran Rakovica 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.

Which organization bills Medicare for Loran Rakovica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loran Rakovica reassigns Medicare benefits to Dean Health Systems, Inc (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loran Rakovica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loran Rakovica accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Loran Rakovica 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 Loran Rakovica affiliated with any hospitals?

According to CMS data, Loran Rakovica is affiliated with Ssm Health St Clare Hospital - Baraboo and Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Loran Rakovica was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.