DR. JOHN JUSTIN RUFFINI M.D.
NPI 1265543227
Ophthalmology in Ridley Park, PA

Q: What is John Ruffini's NPI number?

The NPI number for John Ruffini is 1265543227. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is John Ruffini's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for John Ruffini was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

80.28/100

CMS Quality Rating

8 MORTON AVE, SUITE 101, RIDLEY PARK, PA 19078(610) 521-2111(610) 521-3048 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. John Justin Ruffini M.d. NPPES

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

DR. JOHN JUSTIN RUFFINI M.D. (NPI 1265543227) is an individual ophthalmology provider in Ridley Park, Pennsylvania, licensed in Pennsylvania (MD040917E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1983).

NPPES Registry Identity

NPI1265543227

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JOHN JUSTIN RUFFINICredential: M.D.

Location Address8 MORTON AVE, SUITE 101Ridley Park, PA 19078-2210

Mailing Address8 Morton Ave, Suite 101Ridley Park, PA 19078-2210 · (610) 521-2111 · Fax (610) 521-3048

Phone(610) 521-2111

Fax(610) 521-3048

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1983

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 24, 2009

✔ NPI 1265543227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD040917E

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

8 MORTON AVE, Ridley Park, PA 19078

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Other Identifiers 12

Other009153600PA · Ibc/keystone Hmo

OtherP531346Oxford

Other413119Aetna

OtherP50682013Multiplan

Other6424863BCigna

Other31269BPA · Keystone Mercy Health Pla

Medicaid001637554001PA

Other193899PA · Ibc

Medicare UPINC33233PA

Medicare PIN193899KAFPA

Other36784002Davis Vision

Other180010184Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware 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

Dr. John Justin Ruffini 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 ID4587656517

PECOS Enrollment IDI20110103000828

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 14

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 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.

403 services378 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

288 services286 patients

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.

285 services229 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

114 services105 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.

104 services104 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

95 services92 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

42 services42 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

39 services39 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

37 services28 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

33 services33 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

31 services22 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

29 services19 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

22 services22 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.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19078 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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.

80.28/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

34.27

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.

DR. JOHN M FANNING DO

Family Medicine

8 MORTON AVE, SUITE 303
RIDLEY PARK, PA 19078

Delaware County (610) 595-6850

DR. MICHAEL J STEWART MD

Internal Medicine

8 MORTON AVE, SUITE 103
RIDLEY PARK, PA 19078

Delaware County (610) 532-4306

MRS. STEPHANIE MOSTONE DNP, FNP-BC

Nurse Practitioner (Family)

8 MORTON AVE, SUITE 8
RIDLEY PARK, PA 19078

Delaware County (610) 595-6850

BROOK H BATZEL MSN, CRNP

Nurse Practitioner (Adult Health)

8 MORTON AVE, SUITE 305
RIDLEY PARK, PA 19078

Delaware County (610) 595-0494

HEALTH ACCESS NETWORK

Family Medicine

8 MORTON AVE, SUITE 303
RIDLEY PARK, PA 19078

Delaware County (610) 595-6850

ANDREA SAXON MCGUINNESS M.D.

Ophthalmology

8 MORTON AVE, SUITE 101
RIDLEY PARK, PA 19078

Delaware County (610) 521-2111

NILAM D PATEL PA-C

Physician Assistant

8 MORTON AVE, SUITE 303
RIDLEY PARK, PA 19078

Delaware County (610) 595-6850

AMY LEE LUNDHOLM D.O.

Internal Medicine (Rheumatology)

8 MORTON AVE, SUITE 304
RIDLEY PARK, PA 19078

Delaware County (610) 521-1701

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 John Ruffini's NPI number?

The NPI number for John Ruffini is 1265543227. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is John Ruffini located?

John Ruffini practices at 8 Morton Ave Suite 101, Ridley Park, PA 19078. The listed phone number is (610) 521-2111.

What is John Ruffini's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Ruffini enrolled in Medicare?

Yes. John Ruffini 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 John Ruffini accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list John Ruffini 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.

When was this NPI record last updated?

The NPPES record for John Ruffini was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.