DR. JOHN DALE RATHBUN M.D.
NPI 1093788192
Internal Medicine - Interventional Cardiology in Savannah, GA

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
79.12/100
CMS Quality Rating
11700 MERCY BLVD, PLAZA D, SAVANNAH, GA 31419(912) 961-8647 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Dale Rathbun M.d. NPPES

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

DR. JOHN DALE RATHBUN M.D. (NPI 1093788192) is an individual interventional cardiology provider in Savannah, Georgia, licensed in Georgia (23665) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Ohio State University College Of Medicine (1977).

NPPES Registry Identity

NPI1093788192
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. JOHN DALE RATHBUNCredential: M.D.
Location Address11700 MERCY BLVD, PLAZA DSavannah, GA 31419-1753
Mailing Address11700 Mercy Blvd, Plaza DSavannah, GA 31419-1753 · (912) 961-8647
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1977
Enumeration DateFebruary 9, 2006
Last NPPES UpdateNovember 27, 2012
NPI 1093788192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in GA · 23665
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

11700 MERCY BLVD, Savannah, GA 31419

Other Identifiers 4

Other060052301GA · Medicare Railroad
Medicaid002518091GA
Medicare PIN06BDFZX02GA
Medicare UPIND40935GA

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. John Dale Rathbun 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 ID244301729
PECOS Enrollment IDI20080611000795
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 20

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 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.
685 services479 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
623 services498 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.
200 services179 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
152 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
141 services76 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
133 services107 patients

Hospital Affiliations CMS Care Compare 4

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

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Evans Memorial Hospital

Acute Care Hospitals · Claxton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110142
Location200 N River StreetClaxton, GA 30417 · Evans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31419 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.96
Improvement Activities40
Cost58.47

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Pulmonary Disease)
11700 MERCY BLVD, BLDG #5
SAVANNAH, GA 31419
Physician Assistant (Medical)
11700 MERCY BLVD, PLAZA D, BLDG 1, STE. A
SAVANNAH, GA 31419
Nurse Practitioner (Acute Care)
11700 MERCY BLVD
SAVANNAH, GA 31419
Physician Assistant
11700 MERCY BLVD, PLAZA D #6
SAVANNAH, GA 31419
Internal Medicine (Interventional Cardiology)
11700 MERCY BLVD, PLAZA D
SAVANNAH, GA 31419
Internal Medicine (Cardiovascular Disease)
11700 MERCY BLVD, #6 PLAZA D
SAVANNAH, GA 31419
Nurse Practitioner (Acute Care)
11700 MERCY BLVD, PLAZA D #6
SAVANNAH, GA 31419
Nurse Practitioner
11700 MERCY BLVD, PLAZA D SUITE A
SAVANNAH, GA 31419

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 John Rathbun's NPI number?

The NPI number for John Rathbun is 1093788192. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is John Rathbun located?

John Rathbun practices at 11700 Mercy Blvd Plaza D, Savannah, GA 31419. The listed phone number is (912) 961-8647.

What is John Rathbun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is John Rathbun enrolled in Medicare?

Yes. John Rathbun 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 John Rathbun accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Rathbun 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.

Is John Rathbun affiliated with any hospitals?

According to CMS data, John Rathbun is affiliated with Candler Hospital, St Joseph's Hospital - Savannah, East Georgia Regional Medical Center and Evans Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Rathbun was last updated on November 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.