PHILLIP N RUHL DO NPI 1033295316
Anesthesiology in Stockton, CA

About PHILLIP N RUHL DO

Phillip Ruhl is an anesthesiologist established in Stockton, California and his medical specialization is Anesthesiology with more than 41 years of experience. He graduated from College Of Osteo Med Of The Pacific At Pomona in 1982. The NPI number of Phillip Ruhl is 1033295316 and was assigned on October 2006. The practitioner's primary taxonomy code is 207L00000X with license number 20A4481 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1033295316
Provider Name PHILLIP N RUHL DO
Location Address525 W ACACIA ST STOCKTON, CA 95203
Location Phone(209) 944-5550
Mailing AddressPO BOX 7156 STOCKTON, CA 95267
GenderMale
NPI Entity TypeIndividual
Medical School NameCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduation Year1982
Is Sole Proprietor?No
Enumeration Date10-28-2006
Last Update Date07-08-2007

An anesthesiologist like Phillip N Ruhl Do manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.Phillip Ruhl is enrolled in PECOS and is eligible to order or refer health care 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.

Phillip Ruhl 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 Adventist Health Lodi Memorial.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 74.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

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.

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.20A4481
License StateCA
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

PHILLIP N RUHL DO
525 W ACACIA ST
STOCKTON, CA
ZIP 95203
Phone: (209) 944-5550

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Mailing Address

PHILLIP N RUHL DO
PO BOX 7156
STOCKTON, CA
ZIP 95267
Phone: (209) 467-6866


Location Map

PECOS Enrollment and Medicare Participation Status

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.

Registered in PECOS? Yes
PECOS PAC ID42248346
PECOS Enrollment IDI20050728000581
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

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 61.8
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 87.5
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 74.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 29Injections of substances into lower or sacral spine (HCPCS:62311)
  • 24Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)
  • 13Anesthesia for lens surgery (HCPCS:00142)

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. Phillip Ruhl is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVENTIST HEALTH LODI MEMORIAL975 S FAIRMONT AVENUE
LODI, CA 95240
(209) 334-3411Acute Care Hospitals50336

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E08827MEDICARE UPIN (02)CA
020A48810MEDICARE ID-TYPE UNSPECIFIED (04)CA
00AX48810MEDICAID (05)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033295316
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063491032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 9 + 1 + 0 + 3 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1033295316 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1932178613DR. ALVIN ZACHARIAH M.D.
Individual
Internal Medicine525 W ACACIA ST
STOCKTON, CA 95203
(209) 613-1282
1831108950 MARYLYNN B. BARKLEY MD
Individual
Personal Emergency Response Attendant525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1952487233 PAULO ARI DE OLIVEIRA POSTIGLIONE MD
Individual
Anesthesiology525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1528146099 ALICJA ORKISZEWSKA MD
Individual
Anesthesiology525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1417021726 SAHIR NASEER MD
Individual
Family Medicine525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1891854907STOCKTON HOSPITALIST MEDICAL GROUP, INC.
Organization
Internal Medicine525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1922260629CENTRAL VALLEY NEONATAL MEDICAL GRP
Organization
Pediatrics (Neonatal-Perinatal Medicine)525 W ACACIA ST NEONATAL DEPARTMENT
STOCKTON, CA 95203
(209) 571-8330
1588934871SOUND INPATIENT PHYSICIANS MEDICAL GROUP, INC
Organization
Hospitalist525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1487052015 TARA LANGE
Individual
Pharmacist525 W ACACIA ST
STOCKTON, CA 95203
(209) 461-3104
1245606037 GINA NAKATA PHARM D
Individual
Pharmacist525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1366812273 JAMIE JAY BIBLE PA-C
Individual
Physician Assistant (Medical)525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1609239532ANIL K. SAIN, MD
Organization
Nuclear Medicine525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1346695038 MATTHEW MITCHELL PHARM.D
Individual
Pharmacist525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1619241163DR. CYNTHIA IJEOMA AIMIUWU PHARM.D.
Individual
Pharmacist525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1922099332DR. NAZAR R ALSAFFAR MD
Individual
Radiology (Diagnostic Radiology)525 W ACACIA ST
STOCKTON, CA 95203
(903) 465-1857
1669463675RADIOLOGY CONSULTANTS MEDICAL GROUP, INC
Organization
Radiology (Diagnostic Radiology)525 W ACACIA ST
STOCKTON, CA 95203
(903) 465-1857
1407391576 STEVEN FRANK BLANKENSHIP JR. RDN
Individual
Dietitian, Registered525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5400
1518490358CALIFORNIA EM-I MEDICAL SERVICES A MEDICAL CORPORATION
Organization
Emergency Medicine525 W ACACIA ST
STOCKTON, CA 95203
(469) 401-2386
1114346657 AHMED Y JAVED M.D.
Individual
Internal Medicine525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550
1841675436 BRANDON SMITH NP
Individual
Nurse Practitioner525 W ACACIA ST
STOCKTON, CA 95203
(209) 944-5550

Frequently Asked Questions

What is Phillip Ruhl DO NPI number?

The NPI number assigned to Phillip Ruhl DO is 1033295316, registered as an "individual" on October 28, 2006

Where is Phillip Ruhl DO located?

The provider is located at 525 W Acacia St Stockton, Ca 95203 and the phone number is (209) 944-5550

Which is Phillip Ruhl DO specialty?

The provider's speciality is Anesthesiology

How many years of experience does Phillip Ruhl DO have?

The provider has more than 41 years of experience. He graduated from College Of Osteo Med Of The Pacific At Pomona in 1982.

What insurance does Phillip Ruhl DO accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Phillip Ruhl DO registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

What are some of the services provided by Phillip Ruhl DO?

The most common procedures or services performed by this practitioner are: Injections of substances into lower or sacral spine, Anesthesia for open or endoscopic total knee joint replacement and Anesthesia for lens surgery.

Is Phillip Ruhl DO affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: ADVENTIST HEALTH LODI MEMORIAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Phillip Ruhl DO was last updated on October 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]