Individual provider Active NPI

Paul D Raymond, MD

  • Family Medicine Physician
  • Homer, AK
National Provider Identifier
1912075920
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AA2281 Issued in AK
Practice address
323 W Danview Ave
Homer, AK 99603-7028
Phone
(907) 235-0000
Fax
(907) 235-4050
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X AA2281 AK
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AA2281 AK Primary

Addresses

Primary practice location

323 W Danview Ave
Homer, AK 99603-7028

Mailing address

510 W Tudor Rd Ste 5
Anchorage, AK 99503-6649
Phone (907) 743-0050

Other practice location 1

43335 Kalifornsky Beach Rd Ste 25
Soldotna, AK 99669-8280
Phone (907) 420-0600

Other practice location 2

475 Riverstone Way Ste 1
Fairbanks, AK 99709-2971
Phone (907) 374-9920

Other practice location 3

3719 E Meridian Loop Ste C
Wasilla, AK 99654-7273
Phone (907) 357-4200

Other practice location 4

2223 Jordan Ave
Juneau, AK 99801-8050
Phone (907) 500-7368

Other practice location 5

510 W Tudor Rd Ste 5
Anchorage, AK 99503-6649
Phone (907) 743-0050

Other identifiers 2

IdentifierTypeStateIssuer
1011363MedicaidAK
MD2281MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031125000531 AK Practitioner - Family PracticePractitioner - Sleep Medicine 8123930401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sleep Medicine
Education
University of Washington School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchorage Sleep Center LLCGroup PAC ID 5890964746, 11 clinicians

Practice addresses (Care Compare)

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone (907) 743-0050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
22.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2281AKMDPharmacist
AA2281AKMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center CurrentSince Sep 13, 2011 Accepting new patients
Homer Medical Clinic, a Professional Corp Multi-Specialty Past Accepting new patients

Locations

510 W Tudor Rd
Ste 5
Anchorage, AK 99503
Phone (907) 743-0050

475 Riverstone Way
Ste 1
Fairbanks, AK 99709
Phone (907) 374-9920

4129 Bartlett St
Homer, AK 99603
Phone (907) 235-7000

323 W Danview Ave
Ste 201
Homer, AK 99603
Phone (907) 235-7000

323 W Danview Ave
Homer, AK 99603
Phone (907) 235-0000

2223 Jordan Ave
Juneau, AK 99801
Phone (907) 500-7368

43335 Kalifornsky Beach Rd
Ste 25
Soldotna, AK 99669
Phone (907) 420-0600

3719 E Meridian Loop
Ste C
Wasilla, AK 99654
Phone (907) 357-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1912075920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD STE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-743-0050",
            "fax_number": "907-743-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W DANVIEW AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037028",
            "telephone_number": "907-235-0000",
            "fax_number": "907-235-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43335 Kalifornsky Beach Rd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996698280",
            "country_code": "US",
            "telephone_number": "907-420-0600",
            "fax_number": "907-420-0610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Riverstone Way Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997092971",
            "country_code": "US",
            "telephone_number": "907-374-9920",
            "fax_number": "907-374-9930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3719 E Meridian Loop Ste C",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547273",
            "country_code": "US",
            "telephone_number": "907-357-4200",
            "fax_number": "907-357-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2223 Jordan Ave",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018050",
            "country_code": "US",
            "telephone_number": "907-500-7368",
            "fax_number": "907-500-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W Tudor Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995036649",
            "country_code": "US",
            "telephone_number": "907-743-0050",
            "fax_number": "907-743-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "AK",
            "license": "AA2281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AA2281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011363",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2281",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.