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

Q: 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.

Q: What is Anthony Ruffa's specialty?

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

Q: 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 14 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.

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: November 08, 2026.

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

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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 and maintains a secondary practice location in Erie.

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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Secondary Practice Location 1

Location 13901 Liberty St Ste 2Erie, PA 16509-1689 · Phone (814) 866-5559 · Fax (814) 864-5595

Other Identifiers 1

Medicaid0014128860013PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, AmeriHealth Caritas Next 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)

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Ruffa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bhs Faster Care PLLC

86 mi

Urgent Care

250B BUTLER CMNS
Butler, PA 16001

Reassigned Medicare billing, Pennsylvania enrollment
55 clinicians in this Medicare group

NPI 1316269863 (724) 283-6666

Jupiter Familyhealthcare,pa

1,049 mi

Family Medicine

4600 MILITARY TRL, #115
Jupiter, FL 33458

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1366503203 (561) 776-5252

Signify Health, LLC

1,115 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Ohio enrollment
672 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Signify Health Medical Associates, PLLC

1,115 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Pennsylvania enrollment
553 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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

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.

Which organizations bill Medicare for Anthony Ruffa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Ruffa reassigns Medicare benefits to 4 organizations: Bhs Faster Care PLLC (Butler, PA), Jupiter Familyhealthcare,pa (Jupiter, FL), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, 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 Anthony Ruffa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Ruffa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and CareSource (Common Ground Healthcare) 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 14 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.