THOMAS RUDISILL
NPI 1174283584
Nurse Practitioner - Family in Salem, OR

Active since December 27, 2021PECOS EnrolledAccepts Medicare Assignment
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306(503) 391-1110 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Rudisill NPPES

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

THOMAS RUDISILL (NPI 1174283584) is an individual family provider in Salem, Oregon, licensed in Oregon (202114701NP-PP) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174283584
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS RUDISILL
Location Address5050 SKYLINE VILLAGE LOOP SSalem, OR 97306-9490
Mailing Address5050 Skyline Village Loop SSalem, OR 97306-9490 · (503) 391-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
NPI 1174283584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 202114701NP-PP
5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306

Accepted 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

Thomas Rudisill 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 ID840683298
PECOS Enrollment IDI20220207001297
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 4

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 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.
149 services98 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.
67 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97306 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 20

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

Internal Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Nurse Practitioner (Primary Care)
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Internal Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Surgery
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Physician Assistant
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Family Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Physician Assistant
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Nurse Practitioner (Psychiatric/Mental Health)
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306

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 Thomas Rudisill's NPI number?

The NPI number for Thomas Rudisill is 1174283584. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Thomas Rudisill located?

Thomas Rudisill practices at 5050 Skyline Village Loop S, Salem, OR 97306. The listed phone number is (503) 391-1110.

What is Thomas Rudisill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Rudisill enrolled in Medicare?

Yes. Thomas Rudisill 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 Thomas Rudisill accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Thomas Rudisill 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 Thomas Rudisill affiliated with any hospitals?

According to CMS data, Thomas Rudisill is affiliated with Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Rudisill was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.