Doctor profile · Federal record
Dr. Budiarto Ranoewidjojo, D.O.
Emergency Medicine Physician (CMS: Emergency Medicine) · New York, NY
- NPI 1417187352
- Accepts Medicare
- 21 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
506 Lenox Ave
New York, NY 100371802
(212) 939-2251 - Mailing address
-
134 Haven Ave Apt 3B
New York, NY 100321126
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- New York #253948
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417187352. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
246
Distinct HCPCS
9
Medicare allowed
$17,464
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 80 | 74 | $103 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 42 | 40 | $35 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 24 | 11 | $16 | |
87428 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 22 | 22 | $30 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $145 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $129 | |
71046 |
X-ray of chest, 2 views | 15 | 15 | $39 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 13 | 13 | $16 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $65 |
In context: peer comparison
Among 345 peers in New York Emergency Medicine Physician, average services per provider: 70. This provider delivers 3.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
25
Patients
25
Total drug cost
$165
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Paxlovid (Eua) (Nirmatrelvir/Ritonavir) | Brand | 14 | 14 | $144 |
| Prednisone | Generic | 11 | 11 | $21 |
Frequently asked questions
What is Dr. Budiarto Ranoewidjojo's medical specialty?
Dr. Budiarto Ranoewidjojo practices Emergency Medicine Physician in New York, NY.
Where does Dr. Budiarto Ranoewidjojo practice?
Dr. Budiarto Ranoewidjojo practices at 506 Lenox Ave, New York, NY 100371802. Office phone: 2129392251.
What is Dr. Budiarto Ranoewidjojo's NPI?
Dr. Budiarto Ranoewidjojo's National Provider Identifier (NPI) is 1417187352, issued by NPPES.
Does Dr. Budiarto Ranoewidjojo accept Medicare assignment?
Yes. Dr. Budiarto Ranoewidjojo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Budiarto Ranoewidjojo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804). Source: CMS Medicare Physician & Other Practitioners file.