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PAUL M RUDY MD
NPI 1093794745
Family Medicine in Annawan, IL

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
110 S DEPOT ST, ANNAWAN, IL 61234(309) 944-5124(309) 721-1407 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul M Rudy Md NPPES

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

PAUL M RUDY MD (NPI 1093794745) is an individual family medicine provider in Annawan, Illinois, licensed in Illinois (036075553) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1986).

NPPES Registry Identity

NPI1093794745
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL M RUDYCredential: MD
Location Address110 S DEPOT STAnnawan, IL 61234-7768
Mailing Address110 S Depot StAnnawan, IL 61234-7768 · (309) 944-5124 · Fax (309) 721-1407
Phone(309) 944-5124
Fax(309) 721-1407
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1986
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 15, 2014
✔ NPI 1093794745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036075553
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 S DEPOT ST, Annawan, IL 61234
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Other Identifiers 6

Medicaid1093794745IA
Medicaid036075552IL
Medicaid0360755522IL
Other080177763IL · Rr Medicare
Medicare UPINE18423IL
Medicare PINL90124IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz and more.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

Paul M Rudy Md 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 ID6507900552
PECOS Enrollment IDI20100215000591, I20170427001732
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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 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.
14 services13 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61234 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers72 claims183 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers33 claims41 services$0.94 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers15 claims230 services$4.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers14 claims140 services$7.31 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier13 claims230 services$2.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers33 claims38 services$21.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

RANDALL L MULLIN MD
Family Medicine
110 S DEPOT ST
ANNAWAN, IL 61234
Henry County (309) 944-5124
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
110 S DEPOT ST
ANNAWAN, IL 61234
Henry County (309) 935-6778

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 Paul Rudy's NPI number?

The NPI number for Paul Rudy is 1093794745. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Paul Rudy located?

Paul Rudy practices at 110 S Depot St, Annawan, IL 61234. The listed phone number is (309) 944-5124.

What is Paul Rudy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Rudy enrolled in Medicare?

Yes. Paul Rudy 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 Paul Rudy accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz and Security Health Plan list Paul Rudy 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 Paul Rudy affiliated with any hospitals?

According to CMS data, Paul Rudy is affiliated with Mile Bluff Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Rudy was last updated on January 15, 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.