Dr. Vimarsh Raina , MD
Internal Medicine • Great Falls, VA
929c Seneca Rd
Great Falls, VA 220661318
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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Dr. Vimarsh Raina is listed in NPPES under Internal Medicine.
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NPI assigned on July 1, 2010; this date does not establish years in practice.
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Published CMS data list 961 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 333 service units.
- 99223 — Initial hospital care with moderate level of medical decision making: 126 service units.
- G0427 — Telehealth consultation, emergency department or initial inpatient: 124 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 11 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,122 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 280 prescription fills, including refills.
- Eliquis (Apixaban) — 203 prescription fills, including refills.
- Furosemide — 184 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 94 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: 748. Middle half: 335 to 1,431.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 464 in 2020 to 961 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
929c Seneca Rd
Great Falls, VA 220661318
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Stevens Point, WI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 6 distinct group names: Aspirus Eagle River Hospital And Clinics, Inc; Aspirus Merrill Hospital And Clinics Inc; Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. and 3 more. 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
2003
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
588 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 – by Provider, 2024.
Medicare-allowed amount
About $129,707 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 – by Provider and Service, 2024.
Paid by Medicare
About $102,365 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 – by Provider and Service, 2024.
30-day fills
4,197 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
$275,001 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
23 years (graduated 2003)
CMS Doctors and Clinicians data list 2003 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
2010
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Raina 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 Dr. Raina 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 Great Falls and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: 748. Middle half: 335 to 1,431.
Too few clinicians listed under Internal Medicine in Great Falls have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: $73,309. Middle half: $32,676 to $134,131.
Too few clinicians listed under Internal Medicine in Great Falls have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: $56,392. Middle half: $24,672 to $102,762.
Too few clinicians listed under Internal Medicine in Great Falls have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Virginia (2024, 2,088 clinicians with data). Median for this group: 684. Middle half: 116 to 4,028.
Too few clinicians listed under Internal Medicine in Great Falls have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in Virginia (2024, 2,088 clinicians with data). Median for this group: $49,170. Middle half: $2,703 to $324,085.
Too few clinicians listed under Internal Medicine in Great Falls have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Internal Medicine with a practice address in Great Falls, VA (3,603 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
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 107% from 464 in 2020 to 961 in 2024.
- 2020: 464
- 2021: 275
- 2022: 697
- 2023: 933
- 2024: 961
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Medicare-allowed amount
Medicare-allowed amount increased 198% from $43,483 in 2020 to $129,707 in 2024.
- 2020: $43,483
- 2021: $27,568
- 2022: $60,403
- 2023: $115,820
- 2024: $129,707
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Paid by Medicare
Paid by Medicare increased 204% from $33,690 in 2020 to $102,365 in 2024.
- 2020: $33,690
- 2021: $21,215
- 2022: $47,338
- 2023: $91,584
- 2024: $102,365
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 736% from 493 in 2020 to 4,122 in 2024.
- 2020: 493
- 2021: 1,290
- 2022: 2,132
- 2023: 2,385
- 2024: 4,122
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30-day fills
30-day fills increased 710% from 518 in 2020 to 4,197 in 2024.
- 2020: 518
- 2021: 1,304
- 2022: 2,159
- 2023: 2,501
- 2024: 4,197
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Part D drug cost
Part D drug cost increased 1380% from $18,585 in 2020 to $275,001 in 2024.
- 2020: $18,585
- 2021: $45,556
- 2022: $87,732
- 2023: $149,787
- 2024: $275,001
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 · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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333 | 162 | $276.01 | $130.90 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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126 | 124 | $596.08 | $177.91 |
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G0427
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth
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124 | 116 | $693.06 | $174.29 |
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99239
Hospital discharge day management, more than 30 minutes
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109 | 108 | $302.31 | $125.41 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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92 | 51 | $209.23 | $83.40 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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48 | 19 | $171.22 | $88.75 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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38 | 37 | $447.39 | $122.45 |
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G0408
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
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34 | 28 | $315.15 | $97.87 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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32 | 21 | $257.48 | $133.46 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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13 | 13 | $397.33 | $192.20 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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12 | 11 | $361.92 | $144.72 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 280 | 8,117 | $8,465.25 | 55 |
| Eliquis | Apixaban | 203 | 3,149 | $67,288.71 | 31 |
| Furosemide | Furosemide | 184 | 5,420 | $1,325.16 | 44 |
| Warfarin Sodium | Warfarin Sodium | 150 | 1,019 | $739.32 | — |
| Amlodipine Besylate | Amlodipine Besylate | 145 | 4,116 | $2,512.65 | 34 |
| Levothyroxine Sodium | Levothyroxine Sodium | 139 | 3,753 | $2,243.46 | 30 |
| Pantoprazole Sodium | Pantoprazole Sodium | 134 | 3,823 | $3,906.95 | 39 |
| Potassium Chloride | Potassium Chloride | 125 | 3,408 | $3,640.55 | 25 |
| Lisinopril | Lisinopril | 101 | 2,844 | $1,751.06 | 23 |
| Metoprolol Succinate | Metoprolol Succinate | 101 | 3,138 | $2,028.54 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 88 | 2,404 | $2,613.16 | 20 |
| Gabapentin | Gabapentin | 83 | 2,281 | $2,619.89 | 20 |
| Levetiracetam | Levetiracetam | 79 | 2,190 | $2,757.58 | 13 |
| Losartan Potassium | Losartan Potassium | 76 | 2,200 | $1,196.81 | 19 |
| Clopidogrel | Clopidogrel Bisulfate | 75 | 2,237 | $2,657.68 | 17 |
| Sertraline Hcl | Sertraline Hcl | 73 | 2,096 | $1,997.61 | 17 |
| Metoprolol Tartrate | Metoprolol Tartrate | 72 | 2,138 | $845.27 | 17 |
| Escitalopram Oxalate | Escitalopram Oxalate | 72 | 2,074 | $2,036.79 | — |
| Omeprazole | Omeprazole | 62 | 1,768 | $2,242.32 | 17 |
| Famotidine | Famotidine | 62 | 1,390 | $5,052.24 | — |
| Allopurinol | Allopurinol | 59 | 1,348 | $747.43 | — |
| Carvedilol | Carvedilol | 56 | 1,686 | $1,083.94 | 14 |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 54 | 64 | $17,048.55 | 53 |
| Diclofenac Sodium | Diclofenac Sodium | 53 | 423 | $1,538.69 | 12 |
| Donepezil Hcl | Donepezil Hcl | 51 | 1,459 | $1,990.90 | 11 |
(top 25 shown)
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: 2024-01-12NUCC Taxonomy Code: 207R00000X
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.
NUCC Taxonomy Code: 207R00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20230504000776
DC
9537315064
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
Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.
401 W Mohawk Dr, Tomahawk, WI 544872274
Phone: 7154537200
Aspirus Stevens Point Hospital And Clinics, Inc.
401 W Mohawk Dr, Tomahawk, WI 544872274
Phone: 7154537700
Aspirus Stevens Point Hospital And Clinics, Inc.
900 Illinois Ave, Stevens Point, WI 544813114
Phone: 7153465000
Aspirus Merrill Hospital And Clinics Inc
601 S Ctr Ave, Merrill, WI 544523404
Phone: 7155365511
Aspirus Eagle River Hospital And Clinics, Inc
201 Hospital Rd, Eagle River, WI 545218835
Phone: 7154797411
Inova Health Care Services
44045 Rivderside Pkwy, Leesburg, VA 201765101
Phone: 7037712960
Aspirus Stevens Point Hospital And Clinics, Inc.
601 S Ctr Ave, Merrill, WI 544523404
Phone: 7155365511
Aspirus Stevens Point Hospital And Clinics, Inc.
201 Hospital Rd, Eagle River, WI 545218835
Phone: 7154797411
Aspirus Stanley Hospital And Clinics Inc
1120 Pine St, Stanley, WI 547681297
Phone: 7156445530
Inova Health Care Services
3300 Gallows Rd, Falls Church, VA 220423307
Secondary Practice Locations
900 Illinois Ave
Stevens Point, WI 544813114
Phone: 7153465000
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 929C SENECA RD, GREAT FALLS, VA 220661318 (Tel: 0715321412)
Registered at 929C SENECA RD, GREAT FALLS, VA 220661318 (Tel: 0715321412)
NPI status registered as active in NPPES database
Registered at 900 ILLINOIS AVE, STEVENS POINT, WI 544813114 (Tel: 7153465000)
Registered at 900 ILLINOIS AVE, STEVENS POINT, WI 544813114 (Tel: 7153465000)
Recorded as VIMARSH RAINA, M.D.
Internal Medicine (license number reported to NPPES: WI 56871)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Great Falls
Mailing Address
929c Seneca Rd
Great Falls, VA 220661318
Phone: 0715321412