EDWARD JOHN RUTKOWSKI PA-C
NPI 1225661671
Physician Assistant in Buffalo, NY

Active since February 13, 2020PECOS EnrolledAccepts Medicare Assignment
462 GRIDER ST, BUFFALO, NY 14215(716) 898-3000 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2021, Feb 13, 2020 (2 updates tracked since 2020).

About Edward John Rutkowski Pa-c NPPES

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

EDWARD JOHN RUTKOWSKI PA-C (NPI 1225661671) is an individual physician assistant in Buffalo, New York and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225661671
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWARD JOHN RUTKOWSKICredential: PA-C
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address462 Grider StBuffalo, NY 14215-3021 · (716) 898-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 13, 2020
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
NPI 1225661671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
462 GRIDER ST, Buffalo, NY 14215

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

Edward John Rutkowski Pa-c 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 ID5294153789
PECOS Enrollment IDI20200915003027
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.

Hospital Affiliations CMS Care Compare

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215

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 Edward Rutkowski's NPI number?

The NPI number for Edward Rutkowski is 1225661671. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Edward Rutkowski located?

Edward Rutkowski practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-3000.

What is Edward Rutkowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edward Rutkowski enrolled in Medicare?

Yes. Edward Rutkowski 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.

Is Edward Rutkowski affiliated with any hospitals?

According to CMS data, Edward Rutkowski is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for Edward Rutkowski was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.