Doctor profile · Federal record
Dr. Jacob Raifstanger, Physician Assistant
Surgical Physician Assistant (CMS: Physician Assistant) · Rochester, NY
- NPI 1679989479
- Accepts Medicare
- MIPS 85.3 / 100 · 2023
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2655 Ridgeway Ave Ste 460
Rochester, NY 146264296
(585) 581-6790
fax (585) 581-6793 - Additional location
-
1425 Portland Ave
Rochester, NY 146213001
(585) 922-3458 - Mailing address
-
100 Kings Hwy S
Rochester, NY 146175504
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- January 11, 2023
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- New York #017837
- Medicaid
- NY #03957908
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679989479. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
50
Distinct HCPCS
1
Medicare allowed
$2,165
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 50 | 40 | $43 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 42. This provider delivers 1.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
470
Patients
208
Total drug cost
$5,011
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 88 | 44 | $530 |
| Gabapentin | Generic | 79 | 37 | $1,132 |
| Prednisone | Generic | 68 | 56 | $163 |
| Dexamethasone | Generic | 35 | 26 | $411 |
| Meloxicam | Generic | 31 | 15 | $195 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 30 | 0 | $206 |
| Tizanidine Hcl | Generic | 26 | 16 | $174 |
| Piroxicam | Generic | 18 | 0 | $998 |
| Celecoxib | Generic | 17 | 0 | $430 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 15 | 0 | $169 |
Frequently asked questions
What is Dr. Jacob Raifstanger's medical specialty?
Dr. Jacob Raifstanger practices Surgical Physician Assistant in Rochester, NY.
Where does Dr. Jacob Raifstanger practice?
Dr. Jacob Raifstanger practices at 2655 Ridgeway Ave Ste 460, Rochester, NY 146264296. Office phone: 5855816790.
What is Dr. Jacob Raifstanger's NPI?
Dr. Jacob Raifstanger's National Provider Identifier (NPI) is 1679989479, issued by NPPES.
Does Dr. Jacob Raifstanger accept Medicare assignment?
Yes. Dr. Jacob Raifstanger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Raifstanger commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.