MACK T RUFFIN IV MD
NPI 1245329101
Family Medicine in Mechanicsburg, PA

Active since October 11, 2006PECOS Enrolled
71.78/100
CMS Quality Rating
140 OLD WILLOW MILL RD, MECHANICSBURG, PA 17050(717) 766-4635(717) 766-4818 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2023, Jul 21, 2022, May 17, 2017 (3 updates tracked since 2017).

About Mack T Ruffin Iv Md NPPES

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

MACK T RUFFIN IV MD (NPI 1245329101) is an individual family medicine provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD459216) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Reading.

NPPES Registry Identity

NPI1245329101
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMACK T RUFFIN IVCredential: MD
Location Address140 OLD WILLOW MILL RDMechanicsburg, PA 17050-1816
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Fax(717) 766-4818
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1245329101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD459216 Licensed in MI · 4301055570
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

140 OLD WILLOW MILL RD, Mechanicsburg, PA 17050

Secondary Practice Location 1

Location 1145 N 6th St Fl 2Reading, PA 19601-3096 · Phone (610) 208-4558 · Fax (610) 378-2441

Other Identifiers 3

Other534246PA · Medicare Ptan
Medicaid1031816190001PA
Medicaid2623517MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mack T Ruffin Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 5

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

Physician Assistant
140 OLD WILLOW MILL RD
MECHANICSBURG, PA 17050
Family Medicine
140 OLD WILLOW MILL RD
MECHANICSBURG, PA 17050
Family Medicine
140 OLD WILLOW MILL RD
MECHANICSBURG, PA 17050
Family Medicine
140 OLD WILLOW MILL RD
MECHANICSBURG, PA 17050
Family Medicine
140 OLD WILLOW MILL RD
MECHANICSBURG, PA 17050

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 Mack Ruffin's NPI number?

The NPI number for Mack Ruffin is 1245329101. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mack Ruffin located?

Mack Ruffin practices at 140 Old Willow Mill Rd, Mechanicsburg, PA 17050. The listed phone number is (717) 766-4635.

What is Mack Ruffin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mack Ruffin enrolled in Medicare?

Yes. Mack Ruffin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mack Ruffin was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.