# John A Raffensperger, MD

Source: https://ourhealthnetwork.com/doctor/john-raffensperger-md-1396710869
NPI: 1396710869
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

John A Raffensperger, MD is a pulmonary disease based in Natrona Heights, PA practicing at Upmc Community Medicine Inc with NPI 1396710869 and offers telehealth visits.

## Profile

- Primary specialty: Pulmonary Disease
- Secondary specialties: CRITICAL CARE (INTENSIVISTS)
- Credential: MD
- Gender: Male
- Medical school: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
- Graduation year: 1985
- Telehealth: Yes
- NPI: 1396710869 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1396710869))

## Practice and contact

- Practice name: Upmc Community Medicine Inc
- Address: 1800 Union Ave, Natrona Heights, PA, 150652201
- Phone: (724) 548-6260
- Group practice size: 748 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 78.53/100
- Quality category score: 74.62/100
- Promoting Interoperability score: 100.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 53.8283/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (10 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 8 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 8 plans
- [UPMC Health Plan](https://ourhealthnetwork.com/insurance/upmc-health-plan) — 8 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 5 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 5 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 4 plans
- [Highmark BS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bs-pennsylvania) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 1 plan

To verify a specific plan covers John A Raffensperger, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1396710869).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 1 disclosed payment from medical industry sources totaling approximately $120.

Largest disclosed payer: Inspire Medical Systems, Inc. ($120 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Pulmonary Disease doctors in NATRONA HEIGHTS, PA](https://ourhealthnetwork.com/pulmonary-disease/pa/natrona-heights)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1396710869)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)