DR. RUDOLPH MICHAEL TOVAR M.D.
NPI 1063453470
Obstetrics & Gynecology in Lexington, KY

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
800 ROSE STREET RM. C-358, LEXINGTON, KY 40536(859) 257-2321(859) 257-9089 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2020, Aug 8, 2017 (2 updates tracked since 2017).

About Dr. Rudolph Michael Tovar M.d. NPPES

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

DR. RUDOLPH MICHAEL TOVAR M.D. (NPI 1063453470) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (40221) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Texas Medical School At Houston (2002).

NPPES Registry Identity

NPI1063453470
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RUDOLPH MICHAEL TOVARCredential: M.D.
Location Address800 ROSE STREET RM. C-358Lexington, KY 40536-0001
Mailing Address232 E Bell CtLexington, KY 40508-1935 · (859) 312-8389
Fax(859) 257-9089
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2002
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1063453470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in KY · 40221
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License 40221 (KY)
800 ROSE STREET RM. C-358, Lexington, KY 40536

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. Rudolph Michael Tovar M.d. 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 ID1658378104
PECOS Enrollment IDI20061026000273
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Rudolph Tovar's NPI number?

The NPI number for Rudolph Tovar is 1063453470. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Rudolph Tovar located?

Rudolph Tovar practices at 800 Rose Street Rm. C-358, Lexington, KY 40536. The listed phone number is (859) 257-2321.

What is Rudolph Tovar's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rudolph Tovar enrolled in Medicare?

Yes. Rudolph Tovar 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.

Is Rudolph Tovar affiliated with any hospitals?

According to CMS data, Rudolph Tovar is affiliated with Saint Joseph London.

When was this NPI record last updated?

The NPPES record for Rudolph Tovar was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.