DR. DONALD HENRY RUDICK MD
NPI 1205885944
Specialist in St Marys, PA
NPI Status: Active since May 09, 2006
Contact Information
761 JOHNSONBURG RD
SUITE 350
ST MARYS, PA
ZIP 15857
Phone: (814) 781-8669
Fax: (814) 781-8671
- Individual
- Male
- Specialist
- Medicare Quality Reporting
About DONALD RUDICK
This page provides the complete NPI Profile along with additional information for Donald Rudick, a provider established in St Marys, Pennsylvania with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1205885944 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number MD056864L (PA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1205885944
- Provider Name
- DR. DONALD HENRY RUDICK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 761 JOHNSONBURG RD SUITE 350 ST MARYS, PA 15857
- Location Phone
- (814) 781-8669
- Location Fax
- (814) 781-8671
- Mailing Address
- 761 JOHNSONBURG RD SUITE 350 ST MARYS, PA 15857
- Mailing Phone
- (814) 781-8669
- Mailing Fax
- (814) 781-8671
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-09-2006
- Last Update Date
- 07-09-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD056864L
- License State
- PA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1444738 | OTHER (01) | PA | HIGHMARK PROVIDER NUMBER |
| 060469 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | PROVIDER NUMBER |
| A46258 | MEDICARE UPIN (02) | PA | |
| 0019212650001 | MEDICAID (05) | PA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Diagnostic exam of bladder and urethra using an endoscope
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Prostate resection
Ultrasound measurement of bladder capacity after voiding
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
This service was performed 65 times for 55 patientsThis 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.
This service was performed 343 times for 262 patientsThis 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.
This service was performed 74 times for 74 patientsProstate resection is a procedure performed to alleviate discomfort caused by an enlarged prostate. This involves removing a portion of the prostate gland to ease pressure on the urinary tract, improving urine flow and reducing symptoms. It's performed under general or spinal anesthesia.
This service was performed for 1-10 patientsUltrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
This service was performed 94 times for 82 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Care coordination agreements that promote improvements in patient tracking across settings | Yes | N/A |
| Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205885944, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
ST MARYS, PA 15857
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205885944, enumerated as an "individual" on May 09, 2006.
The provider is located at 761 JOHNSONBURG RD SUITE 350 ST MARYS, PA 15857 and the phone number is (814) 781-8669.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Highmark Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
