DR. MICHAEL R RUFFATTO D.M.D.
NPI 1154651628
Dentist - General Practice in Champaign, IL

Q: What is Michael Ruffatto's NPI number?

The NPI number for Michael Ruffatto is 1154651628. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Q: What is Michael Ruffatto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Ruffatto was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 06, 2010PECOS Enrolled

1202 HARRINGTON DR, CHAMPAIGN, IL 61821(217) 351-6388 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Michael R Ruffatto D.m.d. NPPES

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

DR. MICHAEL R RUFFATTO D.M.D. (NPI 1154651628) is an individual general practice provider in Champaign, Illinois, licensed in Illinois (019027467) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154651628

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL R RUFFATTOCredential: D.M.D.

Location Address1202 HARRINGTON DRChampaign, IL 61821-6514

Mailing Address1705 Woodfield DrSavoy, IL 61874-9504 · (217) 356-6656

Phone(217) 351-6388

Sole ProprietorNo

Enumeration DateJanuary 6, 2010

Last NPPES UpdateJanuary 27, 2016

✔ NPI 1154651628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019027467

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.

1202 HARRINGTON DR, Champaign, IL 61821

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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. Michael R Ruffatto D.m.d. 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 61821 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 Michael Ruffatto's NPI number?

The NPI number for Michael Ruffatto is 1154651628. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Where is Michael Ruffatto located?

Michael Ruffatto practices at 1202 Harrington Dr, Champaign, IL 61821. The listed phone number is (217) 351-6388.

What is Michael Ruffatto's specialty?

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

Is Michael Ruffatto enrolled in Medicare?

Yes. Michael Ruffatto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Ruffatto was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.