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DR. ELIZABETH JEAN RUTLEDGE D.D.S.
NPI 1245542109
Dentist - General Practice in Jackson, MI

Active since July 08, 2010Opted out of Medicare · through Apr 1, 2028
2424 SPRING ARBOR RD, JACKSON, MI 49203(517) 787-2226 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Jean Rutledge D.d.s. NPPES

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

DR. ELIZABETH JEAN RUTLEDGE D.D.S. (NPI 1245542109) is an individual general practice provider in Jackson, Michigan, licensed in Michigan (2901020249) and active in the NPI registry since July 2010. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245542109
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELIZABETH JEAN RUTLEDGECredential: D.D.S.
Location Address2424 SPRING ARBOR RDJackson, MI 49203-2748
Mailing Address2424 Spring Arbor RdJackson, MI 49203-2748 · (517) 787-2226
Phone(517) 787-2226
Sole ProprietorYes
Enumeration DateJuly 8, 2010
✔ NPI 1245542109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901020249
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2424 SPRING ARBOR RD, Jackson, MI 49203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elizabeth Jean Rutledge D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49203 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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 10

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

SPRINGCREST FAMILY PHYSICIANS, P.C.
Family Medicine
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-0500
SPRINGCREST SLEEP SOLUTIONS PLLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-2226
MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC
Internal Medicine (Gastroenterology)
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 783-3112
MR. KEVIN K TAYLOR P.A.-C.
Physician Assistant
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-0500
EDWARD L LAMOREAUX D.D.S.
Dentist
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-2226
ELIZABETH J. RUTLEDGE, DDS, PLC
Dentist (General Practice)
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-2226
DR. NICHOLAS LEE LAGOW D.D.S.
Dentist
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-2226
DR. PAUL D HEILBORN MD
Family Medicine
2424 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-0500

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 Elizabeth Rutledge's NPI number?

The NPI number for Elizabeth Rutledge is 1245542109. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Elizabeth Rutledge located?

Elizabeth Rutledge practices at 2424 Spring Arbor Rd, Jackson, MI 49203. The listed phone number is (517) 787-2226.

What is Elizabeth Rutledge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elizabeth Rutledge enrolled in Medicare?

No. Elizabeth Rutledge has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elizabeth Rutledge was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.