SCOTT LEWIS RUGGLES MD
NPI 1174636062
Colon & Rectal Surgery in Green Bay, WI

Q: What is Scott Ruggles's NPI number?

The NPI number for Scott Ruggles is 1174636062. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Scott Ruggles's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Ruggles was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 16, 2006PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 6, 2020 (2 updates tracked since 2020).

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About Scott Lewis Ruggles Md NPPES

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

SCOTT LEWIS RUGGLES MD (NPI 1174636062) is an individual colon & rectal surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (44472) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1174636062

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameSCOTT LEWIS RUGGLESCredential: MD

Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526

Mailing Address670 Cormier RoadGreen Bay, WI 54304-4824 · (920) 494-9685 · Fax (920) 494-9687

Phone(920) 433-0111

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1996

Enumeration DateAugust 16, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2020

✔ NPI 1174636062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in WI · 44472

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

835 S VAN BUREN ST, Green Bay, WI 54301

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Secondary Practice Location 1

Location 1670 Cormier RoadGreen Bay, WI 54304-4824 · Phone (920) 494-9685 · Fax (920) 494-9687

Other Identifiers 1

Medicaid34209800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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

Scott Lewis Ruggles Md 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 ID5496870586

PECOS Enrollment IDI20100913000989

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 6

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.

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.

19 services19 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Single contrast x-ray of large intestine 74270

A single contrast x-ray of the large intestine involves the use of a special dye and x-rays to visualize your large intestine. The dye helps highlight areas of concern on the x-ray, providing a clear image of your intestinal health.

11 services11 patients

Imaging of organ, complimenting routine exam 76125

Imaging of an organ is a non-invasive procedure that helps in visualizing the internal structure of your body. It's often done alongside routine exams to provide a comprehensive health overview. This aids in early detection and treatment of potential health issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520075

Location835 S Van Buren StGreen Bay, WI 54301 · Brown County

Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521310

Location855 S Main StOconto Falls, WI 54154 · Oconto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers12 claims195 services$8.02 avg. paid by Medicare

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

3 suppliers38 claims932 services$11.28 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193

Other-Enteral and Parenteral · category OB005N

3 suppliers38 claims261 services$230.74 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

3 suppliers38 claims261 services$8.04 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

3 suppliers38 claims261 services$25.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARY LYNN BARTEL MD

Pediatrics

835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301

Brown County (920) 496-4700

DR. EKMINI WIJESINGHE MD

Hospitalist

835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301

Brown County (920) 272-1586

SALLY SCHLISE MD

Radiology (Radiation Oncology)