ROBERT MARK RUMMEL MD, PHD
NPI 1033167093
Ophthalmology in Prescott, AZ

Q: What is Robert Rummel's NPI number?

The NPI number for Robert Rummel is 1033167093. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Robert Rummel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Rummel was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

1022 WILLOW CREEK RD, SUITE 200, PRESCOTT, AZ 86301(928) 445-1341(928) 778-3993 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Robert Mark Rummel Md, Phd NPPES

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

ROBERT MARK RUMMEL MD, PHD (NPI 1033167093) is an individual ophthalmology provider in Prescott, Arizona, licensed in Arizona (14391) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1980).

NPPES Registry Identity

NPI1033167093

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameROBERT MARK RUMMELCredential: MD, PHD

Location Address1022 WILLOW CREEK RD, SUITE 200Prescott, AZ 86301-1607

Mailing Address1022 Willow Creek Rd, Suite 200Prescott, AZ 86301-1607 · (928) 445-1341 · Fax (928) 778-3993

Phone(928) 445-1341

Fax(928) 778-3993

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1980

Enumeration DateMay 4, 2006

Last NPPES UpdateJune 16, 2014

✔ NPI 1033167093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AZ · 14391

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1022 WILLOW CREEK RD, Prescott, AZ 86301

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Other Identifiers 3

Medicaid250192AZ

Medicare UPINE41203

Medicare ID-Type Unspecified18WCLBH02

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Mark Rummel Md, Phd 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 ID9133017361

PECOS Enrollment IDI20100825001038

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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Rummel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rummel Eye Care, P.C.

Same address

Ophthalmology

1022 WILLOW CREEK RD, SUITE 200
Prescott, AZ 86301

Reassigned Medicare billing, Arizona enrollment
5 clinicians in this Medicare group

NPI 1225086291 (928) 445-1341

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,316 services1,180 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

469 services415 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

377 services244 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

318 services209 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

246 services141 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

222 services212 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.

203 services150 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

181 services173 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

120 services114 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

114 services83 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

90 services90 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.

64 services64 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

60 services36 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

46 services46 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

42 services34 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

16 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

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.

13 services13 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 8

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

ASSOCIATED RETINA CONSULTANTS, LTD.

Ophthalmology

1022 WILLOW CREEK RD
PRESCOTT, AZ 86301

Yavapai County (602) 242-4928

RUMMEL EYE CARE, P.C.

Ophthalmology

1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301

Yavapai County (928) 445-1341

RUMMEL EYE CARE, P.C.

Clinic/Center (Ophthalmologic Surgery)

1022 WILLOW CREEK RD
PRESCOTT, AZ 86301

Yavapai County (928) 445-1341

STEVEN MARK MEYERS OD

Optometrist

1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301

Yavapai County (928) 445-1341

CENTRAL ARIZONA EYE CLINIC P.C.

Eyewear Supplier

1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301

Yavapai County (928) 445-4069

DR. JOHN L GOOD OD

Optometrist

1022 WILLOW CREEK RD
PRESCOTT, AZ 86301

Yavapai County (284) 451-3419

JOHN HAROLD RUMMEL MD

Ophthalmology

1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301

Yavapai County (928) 445-1341

DR. ROBERT B SMITH O.D.

Optometrist

1022 WILLOW CREEK RD
PRESCOTT, AZ 86301

Yavapai County (928) 445-1341

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 Robert Rummel's NPI number?

The NPI number for Robert Rummel is 1033167093. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Robert Rummel located?

Robert Rummel practices at 1022 Willow Creek Rd Suite 200, Prescott, AZ 86301. The listed phone number is (928) 445-1341.

What is Robert Rummel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Rummel enrolled in Medicare?

Yes. Robert Rummel 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.

Which organization bills Medicare for Robert Rummel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rummel reassigns Medicare benefits to Rummel Eye Care, P.C. (Prescott, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Rummel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Rummel accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 6 other insurers list Robert Rummel 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 Robert Rummel was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.