Dr. Frank J. Raia, MD

  • Phoenix, AZ
  • Orthopaedic hand surgery physician
NPI1043411416PAC ID6305945890
Medicare services, 2024
3,848
Medicare patients, 2024
545
Part D claims, 2024
29
MIPS score, 2024
86
Hospital affiliations
1
Practice address
18444 N 25th Ave, Phoenix, AZ 85023
Practice phone
Call (623) 537-5600
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

The Core Institute

Phoenix, Arizona

See all 4 affiliations

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Dr. Frank J. Raia is an orthopaedic hand surgery physician in Phoenix, Arizona

Dr. Raia practices at The Core Institute in Phoenix, Arizona.

Dr. Raia's NPI, 1043411416, was assigned on May 31, 2007. Dr. Raia graduated from Columbia University College of Physicians and Surgeons in 2000. Dr. Raia holds Arizona license 36916.

NPI and contact details
Medicare PAC ID
6305945890
NPI enumeration date
May 31, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(623) 537-5600
Professional email
Get email
Personal email
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Mobile number
Get number
Sex
Male
Estimated age
52
Medical school graduation
2000

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Frank J. Raia practices at The Core Institute in Phoenix, Arizona

Dr. Raia's primary practice is The Core Institute, at 18444 N 25th Ave, Phoenix, AZ 85023 in Maricopa County. The practice phone is (623) 537-5600.

  • The Core Institute
    18444 N 25th Ave, Phoenix, AZ 85023 · Maricopa CountyPhone(623) 537-5600

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Frank J. Raia is affiliated with 3 sites of care and 1 medical group

Dr. Raia's primary practice is The Core Institute in Phoenix, Arizona. Dr. Raia is also affiliated with The CORE Institute Specialty Hospital. The medical group on file is The CORE Institute. Dmand AI also links Dr. Raia to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Dr. Raia

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Frank J. Raia's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Raia practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
The Core InstituteAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Frank J. Raia is one of 51 orthopaedic hand surgery physicians in Arizona

Hand surgery is Dr. Raia's primary specialty in the NPI Registry, under taxonomy code 207XS0106X. Dr. Raia is licensed in Arizona.

Specialties and state licenses

  • Orthopaedic hand surgery, ArizonaPrimaryLicense 36916 · taxonomy 207XS0106X

Orthopaedic hand surgery physicians near Dr. Raia

Counts of orthopaedic hand surgery physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Frank J. Raia billed Medicare for 3,848 services in 2024

CMS data shows 3,848 Medicare services from Dr. Raia across 16 procedure codes in 2024, for 545 Medicare patients. Medicare paid $111,263 for them.

Medicare services, 20243,848
Medicare patients545
Paid by Medicare$111,263
Procedure codes16

Dr. Raia's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 1,5702024: 1,96025%
Office and hospital visits
2023: 5742024: 75832%
Imaging
2023: 4492024: 57829%
Surgery
2023: 3872024: 53237%
Other services
2023: 182024: 2011%

Where Dr. Raia's Medicare services took place, 2024

  • In an office3,77298%
  • In a facility762%

Dr. Raia compared with the Arizona median for orthopaedic hand surgery physicians, 2024

  • Dr. Raia
  • Arizona median
Medicare services
3,848vs 2,33465% above
Medicare patients
545vs 42728% above
Part D claims
46vs 9652% below

Medians across 49 orthopaedic hand surgery physicians in Arizona with Dmand AI profiles that report each measure.

Dr. Raia's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Raia

Need commercial claims for Dr. Raia?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Raia and other orthopaedic hand surgery physicians in Arizona.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Frank J. Raia treated 545 Medicare patients in 2024, average age 74

CMS counts 545 Medicare patients who saw Dr. Raia in 2024. The largest group is 65 to 74, with 290 patients. 75% of them have high cholesterol, and 70% have arthritis. 4% are also on Medicaid. Their average risk score is 0.98, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Raia's median patient age at 63, with 61% women.

Medicare patients, 2024545
Average age74
Average risk score0.98
Also on Medicaid4%

Dr. Raia's Medicare patients by age, 2024

Dr. Raia's Medicare patients by sex, 2024

  • Women33161%
  • Men21439%

Chronic conditions among Dr. Raia's Medicare patients, 2024

  1. High cholesterol75%
  2. Arthritis70%
  3. High blood pressure69%
  4. Ischemic heart disease30%
  5. Diabetes26%
  6. Chronic kidney disease22%
  7. Mood disorders20%
  8. Osteoporosis19%

Share of Medicare patients with each condition. A patient can have several.

Dr. Raia's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Frank J. Raia wrote 29 Medicare Part D claims in 2024

In 2024, Dr. Raia wrote 29 Medicare Part D claims for 26 patients. 100% of them were for generic drugs. They cover 2 drugs, with $233 in total drug cost. In 2018, CMS named 148 claims across 3 drugs.

Part D claims, 202429
Drugs named by CMS2
Total drug cost$233
Part D patients26

Dr. Raia's most prescribed drugs by claims, 2019

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Raia's Part D claims, 2024

  • Opioids41%12 of 29 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2018 to 2019

  • 2018
  • 2019
Claims for drugs CMS names
2018: 1482019: 4669%

Drugs named by CMS: 2 in 2019, 3 in 2018.

See all prescribing by Dr. Raia

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Frank J. Raia scored 86 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 86 out of 100 for Dr. Raia for performance year 2024, reported as part of a group. Dr. Raia accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Raia's MIPS scores, performance year 2024

  • 86of 100Final score
  • 76.2of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 76of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Frank J. Raia received $1,001 in industry payments from 2016 to 2024

CMS Open Payments shows 13 general payments to Dr. Raia from 5 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 99% of the total. Medartis Inc. paid the most, $258.

General payments to Dr. Raia by program year, 2016 to 2024

General payments to Dr. Raia by kind, 2016 to 2024

$1Kin total
  • Food and beverage$99099%
  • Consulting fees$111%

Companies that paid Dr. Raia the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Raia

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Frank J. Raia graduated from Columbia University College of Physicians and Surgeons

Dr. Raia graduated from Columbia University College of Physicians and Surgeons in 2000.

  1. Medical schoolColumbia University College of Physicians and Surgeons

Source: Dmand AI Professional Profile Data

Sources for Dr. Frank J. Raia's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Frank J. Raia

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Frank J. Raia's NPI number?

Dr. Frank J. Raia's NPI number is 1043411416. It was assigned on May 31, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Frank J. Raia?

Dr. Frank J. Raia is an orthopaedic hand surgery physician in Phoenix, Arizona. The primary specialty in the NPI Registry is Orthopaedic Hand Surgery Physician (taxonomy code 207XS0106X).

Where does Dr. Frank J. Raia practice?

Dr. Raia practices at 18444 N 25th Ave, Phoenix, AZ 85023. Dr. Raia's primary practice is The Core Institute in Phoenix, Arizona. Dmand AI also links Dr. Raia to 1 group practice or clinic.

What is Dr. Frank J. Raia's office phone number?

The practice phone on file for Dr. Raia is (623) 537-5600.

What is Dr. Frank J. Raia's medical license number?

Dr. Raia holds Arizona license 36916.

Which hospitals is Dr. Frank J. Raia affiliated with?

Dr. Raia is affiliated with The CORE Institute Specialty Hospital.

What medical group is Dr. Frank J. Raia part of?

Dr. Raia is linked to The CORE Institute.

Does Dr. Frank J. Raia accept Medicare?

Yes. CMS data shows Dr. Raia billed Medicare for 3,848 services in 2024, and Dr. Raia accepts Medicare assignment.

What is Dr. Frank J. Raia's MIPS score?

Dr. Raia's MIPS final score for performance year 2024 is 86 out of 100, reported as part of a group.

How many Medicare patients does Dr. Frank J. Raia see?

CMS counts 545 Medicare patients who saw Dr. Raia in 2024, with an average age of 74.

Show 5 more questionsShow fewer questions

What services does Dr. Frank J. Raia bill to Medicare?

In 2024, Dr. Raia's most billed Medicare services were injected or infused drug (J3301), diagnostic imaging (73130) and office visit, established patient (99213).

Where did Dr. Frank J. Raia go to medical school?

Dr. Raia graduated from Columbia University College of Physicians and Surgeons in 2000.

What drugs does Dr. Frank J. Raia prescribe most?

In 2019 Medicare Part D data, Dr. Raia's most prescribed drugs by claims were Oxycodone-Acetaminophen and Hydrocodone-Acetaminophen.

Has Dr. Frank J. Raia received payments from drug or device companies?

CMS Open Payments shows $1,001 in general payments to Dr. Raia from 5 companies from 2016 to 2024. The largest total came from Medartis Inc.

How long has Dr. Frank J. Raia been practicing?

Dr. Raia graduated from medical school in 2000, 26 years ago.

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