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DR. JOSE L RUIZ M.D.
NPI 1134319783
Otolaryngology in Sebring, FL

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
4301 SUN N LAKE BLVD STE 102, SEBRING, FL 33872(863) 402-3161(863) 402-8244 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2019, Jan 22, 2019 (2 updates tracked since 2019).

About Dr. Jose L Ruiz M.d. NPPES

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

DR. JOSE L RUIZ M.D. (NPI 1134319783) is an individual otolaryngology provider in Sebring, Florida, licensed in Florida (ME58319) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and maintains a secondary practice location in Kissimmee.

NPPES Registry Identity

NPI1134319783
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOSE L RUIZCredential: M.D.
Location Address4301 SUN N LAKE BLVD STE 102Sebring, FL 33872-2138
Mailing Address1172 Cypress Glen CirKissimmee, FL 34741-7560 · (407) 518-1810 · Fax (407) 201-8834
Phone(863) 402-3161
Fax(863) 402-8244
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1984
Enumeration DateJuly 30, 2007
Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration
✔ NPI 1134319783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME58319
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4301 SUN N LAKE BLVD STE 102, Sebring, FL 33872
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Secondary Practice Location 1

Location 11172 Cypress Glen CirKissimmee, FL 34741-7560 · Phone (407) 518-1810 · Fax (407) 201-8834

Other Identifiers 1

Other201309361Commercial

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Dr. Jose L Ruiz M.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 ID5597702100
PECOS Enrollment IDI20050415000095
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 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.
501 services327 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.
224 services224 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
193 services150 patients
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.
191 services191 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.
104 services98 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
76 services73 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MR. ARMIN KAMYAB MD
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
DR. MICHAEL PATRICK LATZKO M.D.
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
NHORA ADAMS APRN
Nurse Practitioner (Acute Care)
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
PRIYA SHARMA MD
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
DAVID CHRISTOPHER CUMMINGS MD
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161

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 Jose Ruiz's NPI number?

The NPI number for Jose Ruiz is 1134319783. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Jose Ruiz located?

Jose Ruiz practices at 4301 Sun N Lake Blvd Ste 102, Sebring, FL 33872. The listed phone number is (863) 402-3161.

What is Jose Ruiz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jose Ruiz enrolled in Medicare?

Yes. Jose Ruiz 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 Jose Ruiz accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Jose Ruiz 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.

Is Jose Ruiz affiliated with any hospitals?

According to CMS data, Jose Ruiz is affiliated with Hca Florida Highlands Hospital, Adventhealth Lake Wales and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Jose Ruiz was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.