DR. DEBORAH SUE RUDDELL DDS
NPI 1104995802
Dentist - General Practice in Fort Myers, FL

Active since November 07, 2006PECOS Enrolled
49 BARKLEY CIR, FORT MYERS, FL 33907(239) 936-8616(239) 936-1146 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Deborah Sue Ruddell Dds NPPES

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

DR. DEBORAH SUE RUDDELL DDS (NPI 1104995802) is an individual general practice provider in Fort Myers, Florida, licensed in Florida (DN 10865) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104995802
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEBORAH SUE RUDDELLCredential: DDS
Location Address49 BARKLEY CIRFort Myers, FL 33907-7531
Mailing Address49 Barkley CirFort Myers, FL 33907-7531 · (239) 936-8616 · Fax (239) 936-1146
Fax(239) 936-1146
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateMarch 3, 2015
NPI 1104995802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN 10865
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
49 BARKLEY CIR, Fort Myers, FL 33907

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Deborah Sue Ruddell Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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 Deborah Ruddell's NPI number?

The NPI number for Deborah Ruddell is 1104995802. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Deborah Ruddell located?

Deborah Ruddell practices at 49 Barkley Cir, Fort Myers, FL 33907. The listed phone number is (239) 936-8616.

What is Deborah Ruddell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Deborah Ruddell enrolled in Medicare?

Yes. Deborah Ruddell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deborah Ruddell was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.