CHARLES KAY RAKER MD
NPI 1427091586
Radiology - Vascular & Interventional Radiology in Phoenix, AZ
Quality Rating: 78.55 out of 100 score
NPI Status: Active since June 14, 2006
Contact Information
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 239-4322
Fax: (602) 239-4271
- Individual
- Male
- Years of Experience 25
- Radiology
- Vascular & Interventional Radiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About CHARLES RAKER
This page provides the complete NPI Profile along with additional information for Charles Raker, a provider established in Phoenix, Arizona with a medical specialization in Radiology, focusing in vascular & interventional radiology and more than 25 years of experience. He graduated from University Of Arizona College Of Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1427091586 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0204X with license number 36971 (AZ). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1427091586
- Provider Name
- CHARLES KAY RAKER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1111 E MCDOWELL RD PHOENIX, AZ 85006
- Location Phone
- (602) 239-4322
- Location Fax
- (602) 239-4271
- Mailing Address
- 1111 E MCDOWELL RD PHOENIX, AZ 85006
- Mailing Phone
- (602) 239-4322
- Mailing Fax
- (602) 239-4271
- Medical School Name
- UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 05-27-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36971
- License State
- AZ
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 36971 (AZ) |
2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | A94703 (CA) |
3 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | A94703 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
WA94703A | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
218839 | MEDICAID (05) | AZ | |
I53544 | MEDICARE UPIN (02) | AZ | |
Z115671 | MEDICARE PIN (08) | AZ | |
00A947030 | OTHER (01) | CA | MEDI CAL |
Medicare Participation & PECOS Enrollment Status
Charles Raker is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Charles Raker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7113939471
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060705000050
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Aspiration of fluid from chest cavity using imaging guidance
Drainage of fluid from abdominal cavity using imaging guidance
Fluoroscopic guidance for insertion or removal of central vein access device
Fluoroscopic guidance for needle placement
Insertion of tunneled central venous tube for infusion (5 years or older)
Removal of tunneled central venous tube
Review by radiologist of ct guidance for needle placement
Ultrasonic guidance for blood vessel access
Ultrasound of both sides of head and neck blood flow
Ultrasound study of arm or leg veins with compression and maneuvers
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
X-ray of chest, 1 view
X-ray of chest, 2 views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 11 times for 11 patientsThis procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
This service was performed 23 times for 21 patientsThis procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
This service was performed 41 times for 22 patientsFluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
This service was performed 42 times for 36 patientsFluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
This service was performed 11 times for 11 patientsThe insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
This service was performed 15 times for 15 patientsA tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
This service was performed 12 times for 12 patientsThis process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
This service was performed 16 times for 16 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 48 times for 42 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 14 times for 14 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 12 times for 12 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 104 times for 94 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 215 times for 155 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 71 times for 68 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.47 for a new patient copayment and $17.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85006 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.55, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 78.55 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 79.6
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 78
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 63.55
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 63.55
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 2 | 7 | 0 | 9 | 1 | 5 | 8 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 0 | 9 | 2 | 5 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 0 + 9 + 2 + 5 + 1 + 6 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1427091586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1255334785 | DR. TODD BRIAN TAYLOR M.D. Individual | Emergency Medicine | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-6968 |
1326037037 | EDWIN G. GOLDSTEIN M.D. Individual | Radiology (Diagnostic Radiology) | 1111 E MCDOWELL RD DEPARTMENT OF MEDICAL IMAGING, GOOD SAMARITAN HOSPITAL PHOENIX, AZ 85006 (602) 239-4850 |
1891784849 | KEVIN S HIRSCH MD Individual | Radiology (Diagnostic Radiology) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4601 |
1881668291 | MARK FRANCIS RUDINSKY M.D. Individual | Pediatrics (Pediatric Infectious Diseases) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4390 |
1780658492 | STEVEN W CARBONNIERE PA-C Individual | Physician Assistant (Medical) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4322 |
1558338517 | DR. JENNIFER A O'HEA MD Individual | Internal Medicine (Critical Care Medicine) | 1111 E MCDOWELL RD DEPT OF CRITICAL CARE - BANNER GOOD SAMARITAN PHOENIX, AZ 85006 (602) 839-2217 |
1144297128 | GREGORY T CHU MD Individual | Internal Medicine (Critical Care Medicine) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-2217 |
1407823412 | ROBERT A RASCHKE M.D. Individual | Internal Medicine (Critical Care Medicine) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-2217 |
1669441754 | DANICE K ATKINS M.S., R.D. Individual | Dietitian, Registered | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-2361 |
1720057532 | JENNIFER DELZELL M.D. Individual | Internal Medicine | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 495-4577 |
1679542401 | BRENDA L SHINAR M.D. Individual | Internal Medicine | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-2391 |
1740249507 | GAIL M SULSKI N.P. Individual | Nurse Practitioner | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4526 |
1518920701 | DR. CAREN LEE LIPSKY MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1111 E MCDOWELL RD GOOD SAMARITAN HOSPITAL, NICU PHOENIX, AZ 85006 (602) 546-0676 |
1508820382 | ALAN I LEIBOWITZ M.D. Individual | Internal Medicine | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-2391 |
1629033295 | THOMAS J TAYLOR MD Individual | Radiology (Radiation Oncology) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4500 |
1356307706 | ROBERT E. STERRETT JR. MD Individual | Radiology (Diagnostic Radiology) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4601 |
1932165115 | MAX O STAGGS MD Individual | Radiology (Diagnostic Radiology) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4601 |
1699731802 | GAMAL F SIDAROUS MD Individual | Nuclear Medicine | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4601 |
1154388981 | ALEX C MCLAREN MD Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 223-9814 |
1669439204 | RON Z SHINAR MD Individual | Radiology (Diagnostic Radiology) | 1111 E MCDOWELL RD PHOENIX, AZ 85006 (602) 239-4601 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427091586, enumerated in the NPI registry as an "individual" on June 14, 2006
The provider is located at 1111 E Mcdowell Rd Phoenix, Az 85006 and the phone number is (602) 239-4322
The provider's speciality is Radiology with taxonomy code 2085R0204X with a focus in Vascular & Interventional Radiology
The provider has more than 25 years of experience. He graduated from University Of Arizona College Of Medicine in 2001.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Aspiration of fluid from chest cavity using imaging guidance, Drainage of fluid from abdominal cavity using imaging guidance, Fluoroscopic guidance for insertion or removal of central vein access device, Fluoroscopic guidance for needle placement, Insertion of tunneled central venous tube for infusion (5 years or older), Removal of tunneled central venous tube, Review by radiologist of ct guidance for needle placement, Ultrasonic guidance for blood vessel access, Ultrasound of both sides of head and neck blood flow, Ultrasound study of arm or leg veins with compression and maneuvers, Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes, X-ray of chest, 1 view and X-ray of chest, 2 views.
This NPI record was last updated on June 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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