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ANTHONY MARK RUFFA DO
NPI 1134128341
Family Medicine in Erie, PA

Active since July 19, 2005PECOS Enrolled
2625 PARADE ST, ERIE, PA 16504(814) 452-6383(814) 452-1427 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Jul 21, 2022, May 20, 2021 and 1 more (4 updates tracked since 2017).

About Anthony Mark Ruffa Do NPPES

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

ANTHONY MARK RUFFA DO (NPI 1134128341) is an individual family medicine provider in Erie, Pennsylvania, licensed in Florida (OS15523) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134128341
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY MARK RUFFACredential: DO
Location Address2625 PARADE STErie, PA 16504-2809
Mailing Address3901 Liberty StErie, PA 16509-1689 · (814) 866-5559 · Fax (814) 864-5595
Phone(814) 452-6383
Fax(814) 452-1427
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1134128341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS15523✔ Licensed in PA · OS007632L
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.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License OS007632L (PA)
2625 PARADE ST, Erie, PA 16504
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Other Identifiers 1

Medicaid0014128860013PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Mark Ruffa Do 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.

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 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.
15 services15 patients
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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16504 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 11

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

EASTSIDE MEDICAL CENTER
Non-Pharmacy Dispensing Site
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
MEDICAL ASSOCIATES OF ERIE
Orthopaedic Surgery
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
GARY MICHAEL RITTEN MD
Obstetrics & Gynecology (Gynecology)
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
MILLCREEK COMMUNITY HOSPITAL
Family Medicine
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
DR. ROSS ANTHONY SNOW MD
Family Medicine
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
DR. STEVEN HABUSTA D.O.
Orthopaedic Surgery
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
STEVEN COLEMAN
Internal Medicine
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383
MILLCREEK COMMUNITY HOSPITAL
General Acute Care Hospital
2625 PARADE ST
ERIE, PA 16504
Erie County (814) 452-6383

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 Anthony Ruffa's NPI number?

The NPI number for Anthony Ruffa is 1134128341. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Anthony Ruffa located?

Anthony Ruffa practices at 2625 Parade St, Erie, PA 16504. The listed phone number is (814) 452-6383.

What is Anthony Ruffa's specialty?

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

Is Anthony Ruffa enrolled in Medicare?

Yes. Anthony Ruffa is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Ruffa accept?

Health plans from CareSource list Anthony Ruffa 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 Anthony Ruffa was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.