John Raffensperger
Specialist · Pittsburgh, PA
John Raffensperger is a specialist with a practice address in Pittsburgh, Pennsylvania, and NPI 1396710869, issued on Feb 20, 2006. Check the license (Pennsylvania MD038748E, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- John Raffensperger
- Primary taxonomy
- Specialist 174400000X
- License number
- MD038748E PA
Self-reported in NPPES; status is on the state search - Practice location
- 200 Delafield RD, Pittsburgh, PA 15215
- Phone
- (412) 782-5529
- Enumerated
- Feb 20, 2006
- Record last updated
- Mar 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20040331000675); accepts Medicare assignment
- Medical or professional school
- University Of Pittsburgh School Of Medicine, 1985
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest specialist records → All 2,031 in Pennsylvania → Look up another NPI →
Also registered at 200 Delafield RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jeffrey BaumSpecialist1750353066
- Mabry BeebePhysician Assistant1356636732
- Andrew BellMedical Physician Assistant1962937912
- Monica BenavidesCardiovascular Disease Physician1043476674
- Alicia Berardinelli, PA-CPhysician Assistant1134219306
- James Bradley, MDOrthopaedic Surgery Physician1487626149
Verify John Raffensperger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MD038748ECheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
22% fewer Medicare Part D claims than the average specialist in 2024
1,075 Medicare Part D claims for 210 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 65% of claims.
Most prescribed
- Trelegy Ellipta305 claims
- Albuterol Sulfate Hfa215 claims
- Fluticasone-Salmeterol74 claims
- Fluticasone Propionate52 claims
- Breo Ellipta47 claims
- Anoro Ellipta46 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 78.5 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $120.45
1 payment: food and beverage; the largest payer was Inspire Medical Systems, Inc. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Upmc Community Medicine IncNatrona Heights, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Raffensperger among 2,031 specialist records in Pennsylvania
John Raffensperger is one of 2,031 specialist records with a practice address in Pennsylvania. 40% 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 9% of them.
- NPI issued2006 · 9% of these records are older, 34% newer
- In a Medicare fileYes · 40% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated1985 · median 1989 among the 547 with a school on file
- Record last updated2021 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
767 specialist records list a practice address in Pittsburgh
They are 767 of the 28,866 NPPES records with a practice address in Pittsburgh, and 2,031 specialist records in Pennsylvania.
All 2,031 in Pennsylvania → Every provider in Pittsburgh → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Evan BakerPittsburgh, PA 152151720050602
- Jeffrey BaumPittsburgh, PA 152151750353066
- Mark BiedrzyckiPittsburgh, PA 152151194797233
- Lawrence Bucklew, MWPittsburgh, PA 152151265404297
- Daniel ChantzPittsburgh, PA 152151902878879
- Richard CoylePittsburgh, PA 152151699748913
- Frank Cymerman, MDAspinwall, PA 152151073586350
- Edward Donnelly, MDAspinwall, PA 152151821061342
Common questions
What is John Raffensperger's NPI number?
John Raffensperger's National Provider Identifier (NPI) is 1396710869, issued on Feb 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John Raffensperger located?
The NPPES record lists a practice address at 200 Delafield RD, Pittsburgh, PA, 15215. Phone: (412) 782-5529. Providers update this record themselves, so call before visiting.
How can I verify John Raffensperger's license?
NPPES lists Pennsylvania license number MD038748E, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does John Raffensperger prescribe under Medicare Part D?
In 2024, John Raffensperger had 1,075 Medicare Part D claims for 210 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is John Raffensperger's MIPS final score?
The 2023 MIPS final score is 78.5 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.