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HANS J. RUEHSEN M.D.
NPI 1245244524
Hospitalist in Damariscotta, ME

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
35 MILES STREET, DAMARISCOTTA, ME 04543(207) 563-4268(207) 563-4103 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hans J. Ruehsen M.d. NPPES

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

HANS J. RUEHSEN M.D. (NPI 1245244524) is an individual hospitalist provider in Damariscotta, Maine, licensed in Maine (MD16602) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2001).

NPPES Registry Identity

NPI1245244524
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHANS J. RUEHSENCredential: M.D.
Location Address35 MILES STREETDamariscotta, ME 04543-4047
Mailing AddressP.o. Box 745Newcastle, ME 04553-0745 · (207) 563-4511 · Fax (207) 563-4103
Phone(207) 563-4268
Fax(207) 563-4103
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2001
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 9, 2012
✔ NPI 1245244524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in ME · MD16602✔ Licensed in ME · 0106602
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
35 MILES STREET, Damariscotta, ME 04543
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Other Identifiers 9

Other3609027Aetna Hmo
Other7193657Aetna Non Hmo
Medicare PINME1056
OtherP00222027Railroad Medicare
Medicare UPINI21992
Other061204ME · Anthem
OtherAA24133Harvard Pilgrim
Medicaid424070099ME
Medicare PINME10601ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Hans J. Ruehsen 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 ID2466418009
PECOS Enrollment IDI20041206001021
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04543 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

FRANK G. GUARNIERI M.D.
Hospitalist
35 MILES STREET
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4268
DANIEL J. BATES M.D.
Emergency Medicine
35 MILES STREET
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4521
MILES MEMORIAL HOSPITAL INCORPORATED
General Acute Care Hospital
35 MILES STREET
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-1234
DR. JOHN M. MURRAY M.D.
Emergency Medicine
35 MILES STREET
DAMORISCOTTA, ME 04543
Lincoln County (207) 563-4521

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 Hans Ruehsen's NPI number?

The NPI number for Hans Ruehsen is 1245244524. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Hans Ruehsen located?

Hans Ruehsen practices at 35 Miles Street, Damariscotta, ME 04543. The listed phone number is (207) 563-4268.

What is Hans Ruehsen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hans Ruehsen enrolled in Medicare?

Yes. Hans Ruehsen 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 Hans Ruehsen accept?

Health plans from Anthem Blue Cross and Blue Shield list Hans Ruehsen 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 Hans Ruehsen affiliated with any hospitals?

According to CMS data, Hans Ruehsen is affiliated with Maine Medical Center and Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Hans Ruehsen was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.