BRIAN RUTLEDGE M.D.
NPI 1245658202
Internal Medicine - Gastroenterology in Detroit, MI

Q: What is Brian Rutledge's NPI number?

The NPI number for Brian Rutledge is 1245658202. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Q: What is Brian Rutledge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Brian Rutledge was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2014PECOS EnrolledAccepts Medicare Assignment

53.42/100

CMS Quality Rating

4201 SAINT ANTOINE ST STE 5C, DETROIT, MI 48201(313) 577-5030(313) 745-4707 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jun 12, 2017 (2 updates tracked since 2017).

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About Brian Rutledge M.d. NPPES

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

BRIAN RUTLEDGE M.D. (NPI 1245658202) is an individual gastroenterology provider in Detroit, Michigan, licensed in Texas (T6700) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1245658202

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameBRIAN RUTLEDGECredential: M.D.

Location Address4201 SAINT ANTOINE ST STE 5CDetroit, MI 48201-2153

Mailing Address1560 E Maple Rd Ste 400Troy, MI 48083-1135 · (313) 745-4525

Phone(313) 577-5030

Fax(313) 745-4707

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2013

Enumeration DateApril 6, 2014

Last NPPES UpdateJune 14, 20222 updates tracked since enumeration

NPPES CertifiedJune 14, 2022

✔ NPI 1245658202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · T6700

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301105717 (MI)

4201 SAINT ANTOINE ST STE 5C, Detroit, MI 48201

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Secondary Practice Location 1

Location 14201 Saint Antoine St, Suite 2EDetroit, MI 48201-2153 · Phone (313) 745-4525

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Brian Rutledge 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 ID5294036190

PECOS Enrollment IDI20220614001079

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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This 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.

101 services90 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

94 services94 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

71 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services55 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

45 services45 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

39 services39 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

38 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This 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.

18 services18 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

15 services15 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

14 services13 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450033

Location2101 Pease StHarlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450128

Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County

Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450711

Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County

Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450855

Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

53.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.29

Promoting Interoperability

Improvement Activities

Cost

70.78

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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.

HARSH ROHIT SHAH DO

Internal Medicine (Hematology & Oncology)

4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201

Wayne County (313) 577-5030

STACEY TAYLOR FNP

Nurse Practitioner (Family)

4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201

Wayne County (313) 745-7999

HEBATALLA OSMAN DO

Internal Medicine (Cardiovascular Disease)

4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201

Wayne County (313) 577-4342

DR. MARIAM AHMAD HAZEM M.D.

Internal Medicine

4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201

Wayne County (313) 577-5030

AUGUSTINA OBI NP

Nurse Practitioner

4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201

Wayne County (313) 577-5030

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 Brian Rutledge's NPI number?

The NPI number for Brian Rutledge is 1245658202. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Brian Rutledge located?

Brian Rutledge practices at 4201 Saint Antoine St Ste 5C, Detroit, MI 48201. The listed phone number is (313) 577-5030.

What is Brian Rutledge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Rutledge enrolled in Medicare?

Yes. Brian Rutledge 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 Brian Rutledge accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Brian Rutledge 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 Brian Rutledge affiliated with any hospitals?

According to CMS data, Brian Rutledge is affiliated with Vhs Harlingen Hospital Company LLC, Knapp Medical Center, Rio Grande Regional Hospital, Harlingen Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Brian Rutledge was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.