MEGAN RUDOLPH M.D.
NPI 1194171926
Plastic Surgery - Surgery of the Hand in Cincinnati, OH

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
7575 5 MILE RD, CINCINNATI, OH 45230(513) 347-9999(513) 232-2522 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Rudolph M.d. NPPES

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

MEGAN RUDOLPH M.D. (NPI 1194171926) is an individual surgery of the hand provider in Cincinnati, Ohio, licensed in Ohio (35.145921) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1194171926
Entity TypeIndividualFemale
Primary Taxonomy2082S0105X
Provider Legal NameMEGAN RUDOLPHCredential: M.D.
Location Address7575 5 MILE RDCincinnati, OH 45230-4346
Mailing Address7575 5 Mile RdCincinnati, OH 45230-4346 · (513) 347-9999 · Fax (513) 232-2522
Fax(513) 232-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1194171926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License Licensed in OH · 35.145921
Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedPlastic SurgeryTaxonomy 208200000X · License RTL16-0848 (NC), 35.145921 (OH)
7575 5 MILE RD, Cincinnati, OH 45230

Secondary Practice Location 1

Location 12600 Clifton AveCincinnati, OH 45220-2872 · Phone (703) 401-0575

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

Megan Rudolph 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 ID2163715038
PECOS Enrollment IDI20231004001605
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 5

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.
43 services43 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
30 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.
21 services21 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
21 services15 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.
20 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Orthopaedic Surgery
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230

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 Megan Rudolph's NPI number?

The NPI number for Megan Rudolph is 1194171926. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Megan Rudolph located?

Megan Rudolph practices at 7575 5 Mile Rd, Cincinnati, OH 45230. The listed phone number is (513) 347-9999.

What is Megan Rudolph's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is Megan Rudolph enrolled in Medicare?

Yes. Megan Rudolph 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 Megan Rudolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Megan Rudolph 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 Megan Rudolph affiliated with any hospitals?

According to CMS data, Megan Rudolph is affiliated with Mercy Health-Anderson Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Megan Rudolph was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.