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MATHIAS DARRELL RUPP CRNA
NPI 1164822920
Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Active since August 29, 2014Accepts Medicare Assignment
87.65/100
CMS Quality Rating
77 W FOREST AVE STE 117, FLAGSTAFF, AZ 86001(928) 773-2505(928) 773-2504 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mathias Darrell Rupp Crna NPPES

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

MATHIAS DARRELL RUPP CRNA (NPI 1164822920) is an individual nurse anesthetist, certified registered in Flagstaff, Arizona, licensed in Arizona (CRNA1070) and active in the NPI registry since August 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1164822920
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATHIAS DARRELL RUPPCredential: CRNA
Location Address77 W FOREST AVE STE 117Flagstaff, AZ 86001-1482
Mailing Address77 W Forest Ave Ste 117Flagstaff, AZ 86001-1482 · (928) 773-2505 · Fax (928) 773-2504
Phone(928) 773-2505
Fax(928) 773-2504
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 29, 2014
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1164822920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AZ · CRNA1070
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 256689 (NC)
77 W FOREST AVE STE 117, Flagstaff, AZ 86001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mathias Darrell Rupp Crna 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 ID2567784556
PECOS Enrollment IDI20141202000902, I20190125001005

Medicare Billing Reassignments

4

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

Barnet Dulaney Perkins Eye Center, PC
1.1 mi
Ophthalmology
350 N SWITZER CANYON DR
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 224 clinicians in this Medicare group
NPI 1689619272 (602) 955-1000
Tuba City Regional Health Care Corporation
4.5 mi
Family Medicine
6300 N HIGHWAY 89
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1376773341 (928) 863-7333
Southwestern Eye Center Ltd
31 mi
Optometrist
100 VERDE VALLEY ROAD, STE 114
Sedona, AZ 86351
  • Reassigned Medicare billing, Arizona enrollment
  • 212 clinicians in this Medicare group
NPI 1144645391 (928) 239-9901
Valley Anesthesiology Consultants, Inc.
108 mi
Anesthesiology
2262 E ROSE GARDEN LN
Phoenix, AZ 85024
  • Reassigned Medicare billing, Arizona enrollment
  • 518 clinicians in this Medicare group
NPI 1285660704 (954) 939-5000

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 3

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
175 services128 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
23 services22 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.84

Other Providers at the Same Location NPPES 4

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

JACOB PAYNE SMITH CRNA
Nurse Anesthetist, Certified Registered
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
MICHELLE L CARDON RN
Nurse Anesthetist, Certified Registered
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
FOREST COUNTRY ANESTHESIA, P.C.
Anesthesiology
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
DR. SAMANTHA ANN BUCHIKA MD
Anesthesiology
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505

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 Mathias Rupp's NPI number?

The NPI number for Mathias Rupp is 1164822920. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Where is Mathias Rupp located?

Mathias Rupp practices at 77 W Forest Ave Ste 117, Flagstaff, AZ 86001. The listed phone number is (928) 773-2505.

What is Mathias Rupp's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mathias Rupp enrolled in Medicare?

Yes. Mathias Rupp 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.

Which organizations bill Medicare for Mathias Rupp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathias Rupp reassigns Medicare benefits to 4 organizations: Barnet Dulaney Perkins Eye Center, PC (Flagstaff, AZ), Tuba City Regional Health Care Corporation (Flagstaff, AZ), Southwestern Eye Center Ltd (Sedona, AZ) and Valley Anesthesiology Consultants, Inc. (Phoenix, AZ). 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 Mathias Rupp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mathias Rupp accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Mathias Rupp 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 Mathias Rupp was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.