DR. WILLIAM CHALMERS RUFFIN DO
NPI 1023578804
Otolaryngology in Opelika, AL

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
1965 1ST AVE, OPELIKA, AL 36801(859) 257-5405(334) 705-0378 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Sep 4, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Dr. William Chalmers Ruffin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM CHALMERS RUFFIN DO (NPI 1023578804) is an individual otolaryngology provider in Opelika, Alabama, licensed in Alabama (3529) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023578804
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WILLIAM CHALMERS RUFFINCredential: DO
Location Address1965 1ST AVEOpelika, AL 36801-5403
Mailing Address1965 1st AveOpelika, AL 36801-5403 · (859) 257-5405 · Fax (334) 705-0378
Fax(334) 705-0378
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1023578804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 3529
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1965 1ST AVE, Opelika, AL 36801

Secondary Practice Location 1

Location 1800 Rose St Rm C-236Lexington, KY 40536 · Phone (859) 218-2143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. William Chalmers Ruffin Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022492859
PECOS Enrollment IDI20240815003064
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
12 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1965 1ST AVE
OPELIKA, AL 36801
Otolaryngology
1965 1ST AVE
OPELIKA, AL 36801
Audiologist
1965 1ST AVE
OPELIKA, AL 36801
Audiologist
1965 1ST AVE
OPELIKA, AL 36801
Otolaryngology
1965 1ST AVE
OPELIKA, AL 36801
Audiologist
1965 1ST AVE
OPELIKA, AL 36801
Audiologist
1965 1ST AVE
OPELIKA, AL 36801
Nurse Practitioner (Family)
1965 1ST AVE
OPELIKA, AL 36801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Ruffin's NPI number?

The NPI number for William Ruffin is 1023578804. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is William Ruffin located?

William Ruffin practices at 1965 1st Ave, Opelika, AL 36801. The listed phone number is (859) 257-5405.

What is William Ruffin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is William Ruffin enrolled in Medicare?

Yes. William Ruffin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Ruffin accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list William Ruffin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Ruffin was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.