NPPES file of Aug 9, 2026

Jack Michael Raisanen, MD

Neuropathology Physician · Dallas, TX

Jack Michael Raisanen, MD is a neuropathology physician with a practice address in Dallas, Texas, and NPI 1083673115, issued on Mar 18, 2006. Check the license (Texas L1177, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083673115
Name
Jack Michael Raisanen
Credential
MD
Primary taxonomy
Neuropathology Physician 207ZN0500X
License number
L1177 TX
Self-reported in NPPES; status is on the state search
Practice location
5323 Harry Hines Blvd, Dallas, TX 75390
Phone
(214) 648-1620
Enumerated
Mar 18, 2006
Record last updated
Dec 1, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(214) 648-4080
Medicare enrollment
Enrolled (PECOS I20100512000188); accepts Medicare assignment
Medical or professional school
University Of Michigan Medical School, 1986
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5323 Harry Hines Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ali Abbas, MDStudent in an Organized Health Care Education/Training Program1447822507
  2. Laila Abbas, MDStudent in an Organized Health Care Education/Training Program1861132524
  3. Eileen Abbasi, CRNACertified Registered Nurse Anesthetist1588918981
  4. Mina Abbassi-Ghanavati, MDObstetrics & Gynecology Physician1154509610
  5. Abier Abdelnaby, M.D.Colon & Rectal Surgery Physician1831312503
  6. Ahmed AbdiStudent in an Organized Health Care Education/Training Program1952095184

Verify Jack Michael Raisanen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license L1177
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 74.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score56.1
  2. Costout of 100 · 30%59.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. University OF Texas Southwestern Medical Center AT DallasDallas, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jack Michael Raisanen among 25 neuropathology physician records in Texas

Jack Michael Raisanen, MD is one of 25 neuropathology physician records with a practice address in Texas. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.

  • NPI issued2006 · 4% of these records are older, 48% newer
  • In a Medicare fileYes · 56% of these records are
  • In the CMS Doctors and Clinicians fileYes · 48% of these records are
  • Graduated1986 · median 1999 among the 12 with a school on file
  • Record last updated2007 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZN0500X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neuropathology Physician providers in Texas

There are 25 neuropathology physician records in Texas.

The 8 neuropathology physician records with the nearest ZIP codes

  1. Dennis Burns, MDDallas, TX 753901710948153
  2. Elena Daoud, MD, PHDDallas, TX 753901366806572
  3. Kimmo Hatanpaa, MDDallas, TX 753901225007750
  4. Emily Herndon, MDDallas, TX 753901881898179
  5. Charles White, MDDallas, TX 753901346201613
  6. Janet Bruner, M.D.Houston, TX 770301568562791
  7. Gregory Fuller, M.D. PHDHouston, TX 770301366547937
  8. Maria Gubbiotti, MD/PHDHouston, TX 770301972063659

Common questions

What is Jack Michael Raisanen, MD's NPI number?

Jack Michael Raisanen, MD's National Provider Identifier (NPI) is 1083673115, issued on Mar 18, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jack Michael Raisanen, MD located?

The NPPES record lists a practice address at 5323 Harry Hines Blvd, Dallas, TX, 75390. Phone: (214) 648-1620. Providers update this record themselves, so call before visiting.

How can I verify Jack Michael Raisanen, MD's license?

NPPES lists Texas license number L1177, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Jack Michael Raisanen, MD's MIPS final score?

The 2023 MIPS final score is 74.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.