TIMOTHY K. RUDER O.D.
NPI 1114214780
Optometrist in Madison, WI

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment
80.22/100
CMS Quality Rating
1265 JOHN Q HAMMONS DR, MADISON, WI 53717(608) 251-4156 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy K. Ruder O.d. NPPES

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

TIMOTHY K. RUDER O.D. (NPI 1114214780) is an individual optometrist in Madison, Wisconsin, licensed in Wisconsin (3227) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2011).

NPPES Registry Identity

NPI1114214780
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTIMOTHY K. RUDERCredential: O.D.
Location Address1265 JOHN Q HAMMONS DRMadison, WI 53717-1921
Mailing Address1265 John Q Hammons DrMadison, WI 53717-1921 · (608) 251-4156
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2011
Enumeration DateJuly 5, 2011
Last NPPES UpdateMarch 21, 2014
NPI 1114214780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 3227
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1265 JOHN Q HAMMONS DR, Madison, WI 53717

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

Timothy K. Ruder O.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 ID2264600824
PECOS Enrollment IDI20110726000438
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
225 services225 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
44 services39 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
37 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services25 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.
25 services21 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability99
Improvement Activities40
Cost49.83

Other Providers at the Same Location NPPES 12

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

Counselor
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Health Maintenance Organization
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Pharmacist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Dietitian, Registered
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Physician Assistant
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Pharmacist
1265 JOHN Q HAMMONS DR, SUITE 200
MADISON, WI 53717
Occupational Therapist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Physical Therapist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717

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 Ruder's NPI number?

The NPI number for Timothy Ruder is 1114214780. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Timothy Ruder located?

Timothy Ruder practices at 1265 John Q Hammons Dr, Madison, WI 53717. The listed phone number is (608) 251-4156.

What is Timothy Ruder's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Timothy Ruder enrolled in Medicare?

Yes. Timothy Ruder 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 Timothy Ruder accept?

Health plans from Group Health Cooperative-SCW list Timothy Ruder 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 Ruder was last updated on March 21, 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.