Jack Michael Raisanen, MD
NPI 1083673115ActiveIndividual· Pathology, Neuropathology· Dallas, TX
Pathology, Neuropathology (MD) in Dallas, Texas, trained at University of Michigan Medical School (class of 1986). Medicare paid $9,412 for services to 37 patients in 2024.
Overview
| NPI | 1083673115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 18, 2006 |
| Last updated in NPPES | Dec 1, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Neuropathology Primary | 207ZN0500X | L1177 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 270 across 10 procedure codes |
| Paid by Medicare | $9,412 |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Pathology |
Medical group
- University of Texas Southwestern Medical Center at DallasDallas, TX · 3,187 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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