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TIMOTHY KIRK RUTTAN MD
NPI 1104080514
Emergency Medicine in Austin, TX

Active since July 15, 2008PECOS Enrolled
DELL CHILDREN'S EMERGENCY DEPARTMENT, 4900 MUELLER BLVD, AUSTIN, TX 78723(512) 324-9725 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2025, Feb 26, 2016 (2 updates tracked since 2016).

About Timothy Kirk Ruttan Md NPPES

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

TIMOTHY KIRK RUTTAN MD (NPI 1104080514) is an individual emergency medicine provider in Austin, Texas, licensed in Texas (P5885) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104080514
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY KIRK RUTTANCredential: MD
Location AddressDELL CHILDREN'S EMERGENCY DEPARTMENT, 4900 MUELLER BLVDAustin, TX 78723
Mailing Address1345 Philomena St Ste 253Austin, TX 78723-3210 · (512) 324-0150
Phone(512) 324-9725
Sole ProprietorNo
Enumeration DateJuly 15, 2008
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1104080514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · P5885
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License P5885 (TX)
DELL CHILDREN'S EMERGENCY DEPARTMENT, Austin, TX 78723
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor 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 (PECOS)

Timothy Kirk Ruttan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Timothy Ruttan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Travis County Emergency Physicians PA
3.5 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Austin Critical Care Specialists PA
7.8 mi
Critical Care Medicine
11113 RESEARCH BLVD
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
NPI 1447435805 (844) 474-4019

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Timothy Ruttan's NPI number?

The NPI number for Timothy Ruttan is 1104080514. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Timothy Ruttan located?

Timothy Ruttan practices at Dell Children's Emergency Department 4900 Mueller Blvd, Austin, TX 78723. The listed phone number is (512) 324-9725.

What is Timothy Ruttan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Ruttan enrolled in Medicare?

Yes. Timothy Ruttan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Ruttan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Ruttan reassigns Medicare benefits to 2 organizations: Travis County Emergency Physicians PA (Austin, TX) and Austin Critical Care Specialists PA (Austin, TX). Each 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 Timothy Ruttan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Ruttan accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Molina Healthcare and Sendero Health Plans, Local Nonprofit and 1 other insurer list Timothy Ruttan 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 Timothy Ruttan was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.