Gregory P. Raines , PA
Physician Assistant โข Worcester, MA
55 Lake Ave N, Department Of Emergency Medicine
Worcester, MA 016550002
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Gregory Raines is listed in NPPES under Physician Assistant.
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NPI assigned on December 11, 2008; this date does not establish years in practice.
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Published CMS data list 743 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 175 service units.
- 99203 โ New patient outpatient office visit: 126 service units.
- 99214 โ Established patient outpatient office visit: 85 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 567 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Azithromycin โ 90 prescription fills, including refills.
- Dexamethasone โ 76 prescription fills, including refills.
- Cephalexin โ 70 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 364.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 101 in 2023 to 743 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
55 Lake Ave N
Department Of Emergency Medicine
Worcester, MA 016550002
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Clearchoicemd, Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Yale University School Of Medicine
2008
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
394 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $45,888 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $30,235 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
567 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,161 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Gregory Raines has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Gregory Raines as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Worcester and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 364.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $15,866. Middle half: $8,187 to $28,338.
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $11,961. Middle half: $6,077 to $21,469.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Worcester, MA (2024, 188 clinicians with data). Median for this group: 144. Middle half: 48 to 542.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Worcester, MA (2024, 188 clinicians with data). Median for this group: $2,295. Middle half: $439 to $27,727.
Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.
425 active clinicians are listed under Physician Assistant with a practice address in Worcester, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Worcester
15.8% of these 425 clinicians have the CMS telehealth indicator.
69.4% of these 425 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 636% from 101 in 2023 to 743 in 2024.
- 2023: 101
- 2024: 743
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Medicare-allowed amount
Medicare-allowed amount increased 871% from $4,727 in 2023 to $45,888 in 2024.
- 2023: $4,727
- 2024: $45,888
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Paid by Medicare
Paid by Medicare increased 712% from $3,723 in 2023 to $30,235 in 2024.
- 2023: $3,723
- 2024: $30,235
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1012% from 51 in 2014 to 567 in 2024.
- 2014: 51
- 2015: 22
- 2022: 36
- 2023: 385
- 2024: 567
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30-day fills
30-day fills increased 1013% from 51 in 2014 to 567 in 2024.
- 2014: 51
- 2015: 22
- 2022: 36
- 2023: 385
- 2024: 567
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Part D drug cost
Part D drug cost went from $520 in 2014 to $5,161 in 2024.
- 2014: $520
- 2015: $117
- 2022: $270
- 2023: $3,445
- 2024: $5,161
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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175 | 153 | $343.96 | $74.21 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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126 | 126 | $427.18 | $90.99 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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85 | 81 | $486.43 | $105.07 |
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81003
Automated urinalysis test
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52 | 50 | $9.50 | $2.20 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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48 | 48 | $630.49 | $136.38 |
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71046
X-ray of chest, 2 views
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46 | 28 | $131.01 | $18.10 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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39 | 39 | $168.31 | $68.88 |
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87400
Detection test by immunoassay technique for influenza virus
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34 | 17 | $57.93 | $13.85 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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33 | 33 | $55.90 | $11.67 |
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87430
Detection test by immunoassay technique for streptococcus, group a (strep)
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24 | 23 | $58.84 | $16.47 |
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94640
Inhalation treatment for airway obstruction or sputum production
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24 | 24 | $37.10 | $6.50 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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22 | 22 | $123.66 | $34.62 |
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J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
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22 | 21 | $0.45 | $0.19 |
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96372
Injection of drug or substance under skin or into muscle
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13 | 12 | $54.88 | $11.79 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Azithromycin | Azithromycin | 90 | 442 | $436.66 | 86 |
| Dexamethasone | Dexamethasone | 76 | 212 | $297.07 | 72 |
| Cephalexin | Cephalexin | 70 | 467 | $577.90 | 70 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 70 | 1,262 | $1,634.00 | 65 |
| Prednisone | Prednisone | 50 | 395 | $172.85 | 50 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 50 | 496 | $519.75 | 49 |
| Methylprednisolone | Methylprednisolone | 39 | 234 | $266.74 | 37 |
| Doxycycline Hyclate | Doxycycline Hyclate | 34 | 314 | $285.19 | 34 |
| Amoxicillin | Amoxicillin | 19 | 169 | $97.15 | 18 |
| Valacyclovir | Valacyclovir Hcl | 19 | 138 | $358.47 | 19 |
| Cefuroxime | Cefuroxime Axetil | 16 | 148 | $201.04 | 16 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 12 | 93 | $72.34 | 12 |
| Fluconazole | Fluconazole | 11 | 65 | $155.39 | โ |
| Polymyxin B Sul-Trimethoprim | Polymyxin B Sulf/Trimethoprim | 11 | 193 | $86.14 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-06-10NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20090217000269
VT
8628133196
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Clearchoicemd, Pllc
1154 Putney Rd, Brattleboro, VT 053019061
Phone: 6035264635
Clearchoicemd, Pllc
173 S Main St, Rutland, VT 057014713
Phone: 6035264635
Clearchoicemd, Pllc
798 Us Route 302, Barre, VT 056412305
Phone: 6035264635
Clearchoicemd, Pllc
1200 Williston Rd, South Burlington, VT 054035720
Phone: 6035264635
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Certified Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: MA PA3984)
NPI status registered as active in NPPES database
Registered at 55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINE, WORCESTER, MA 016550002 (Tel: 5084211400)
Registered at PO BOX 415348, BOSTON, MA 022415348
Recorded as GREGORY RAINES, P.A.
Physician Assistant (license number reported to NPPES: VT 055-0030949)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Worcester
- Shannon Sage, PA
- Kimberly Grill, PA
- Stephanie Priest, PA
- Linda Fagundes, PA-C
- Heather Keefe, PA-C
- Caitlin Alves
Mailing Address
Po Box 415348
Boston, MA 022415348