ANDREW CRIGHTON RUTHERFORD MD NPI 1003046020

Emergency Medicine in Mesquite, TX

NPI 1003046020 Individual Male Years of Experience 13 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ANDREW RUTHERFORD

Andrew Rutherford is a provider established in Mesquite, Texas and his medical specialization is emergency medicine with more than 13 years of experience. He graduated from University Of Texas Southwestern Medical School At Dallas in 2009. The NPI number of Andrew Rutherford is 1003046020 and was assigned on July 2009. The practitioner's primary taxonomy code is 207P00000X with license number N7483 (TX). The provider is registered as an individual and his NPI record was last updated 7 years ago.

Andrew Rutherford is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Andrew Rutherford is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Methodist Richardson Medical Center and Dallas Regional Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: implementation of an asp, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, measurement and improvement at the practice and panel level and participation in an ahrq-listed patient safety organization.. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003046020

Provider Name ANDREW CRIGHTON RUTHERFORD MD
Provider Location Address1011 N GALLOWAY AVE MESQUITE, TX 75149
Provider Mailing Address9203 MILL HOLLOW DR DALLAS, TX 75243
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-24-2009
Last Update Date12-04-2014


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.N7483
License StateTX
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

ANDREW CRIGHTON RUTHERFORD MD
1011 N GALLOWAY AVE
MESQUITE, TX
ZIP 75149
Phone: (214) 320-7000

Get Directions


Mailing Address

ANDREW CRIGHTON RUTHERFORD MD
9203 MILL HOLLOW DR
DALLAS, TX
ZIP 75243
Phone: (214) 221-2965



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1658548425
PECOS Enrollment IDI20120119000032
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Rutherford is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
METHODIST RICHARDSON MEDICAL CENTER2831 E PRESIDENT GEORGE BUSH HIGHWAY
RICHARDSON, TX 75082
(469) 204-1000Acute Care Hospitals450537
DALLAS REGIONAL MEDICAL CENTER1011 NORTH GALLOWAY AVENUE
MESQUITE, TX 75149
(214) 320-7000Acute Care Hospitals450688

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497711535 REBHI A AWAD MD
Individual
Radiology (Diagnostic Radiology)1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7008
1851347835HMA MESQUITE HOSPITAL INC
Organization
General Acute Care Hospital1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7787
1558303636HMA MESQUITE HOSPITAL INC
Organization
General Acute Care Hospital1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7787
1649361130MRS. SONYA VERNICE BLOCKER CRNA
Individual
Nurse Anesthetist, Certified Registered1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7006
1790850220EMCARE MSQ EMERGENCY PHYSICIANS
Organization
Emergency Medicine1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 712-2448
1659446193TEXAS EM-1 MEDICAL SERVICES PA
Organization
Emergency Medicine1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 712-2448
1114127438DR. KIMBERLY REAGANS M.D.
Individual
Emergency Medicine1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1821397027MESQUITE PHYSICIANS GROUP, PLLC
Organization
Emergency Medicine1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1619261385 JENCY VARUGHESE LVN
Individual
Licensed Vocational Nurse1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1316158652DR. TRACY JENNIFER HERNANDEZ M.D.
Individual
Internal Medicine1011 N GALLOWAY AVE
MESQUITE, TX 75149
(972) 698-2371
1124356597MRS. KAMARIA S HANFORD PA
Individual
Physician Assistant1011 N GALLOWAY AVE
MESQUITE, TX 75149
(704) 905-1868
1124344734 ANDREA CALDWELL PA-C
Individual
Physician Assistant1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1396142394COMPREHENSIVE HOSPITALIST SERVICES OF TEXAS, PLLC
Organization
Hospitalist1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1164497632 DENNIS RANDALL ASKINS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7141
1417020785DR. RICHARD L ALDRIDGE JR. MD
Individual
Emergency Medicine1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1790174860PRIME HEALTHCARE SERVICES MESQUITE LLC
Organization
General Acute Care Hospital1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000
1891242848 VIVIAN OU FNP
Individual
Clinical Nurse Specialist (Acute Care)1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 319-2724
1881796639 DANA A WINGATE D.O.
Individual
Emergency Medicine (Emergency Medical Services)1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7185
1962912675 JANET RODRIGUEZ NP-C
Individual
Nurse Practitioner (Family)1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7190
1972059392STAR MD, PLLC
Organization
Hospitalist1011 N GALLOWAY AVE
MESQUITE, TX 75149
(214) 320-7000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.