MR. JOHN M RUTHERFORD
NPI 1306307491
Nurse Practitioner - Acute Care in Birmingham, AL

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 934-3411 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. John M Rutherford NPPES

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

MR. JOHN M RUTHERFORD (NPI 1306307491) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-166083) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306307491
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JOHN M RUTHERFORD
Location Address1201 11TH AVE SBirmingham, AL 35205-3423
Mailing Address1802 6th Ave SBirmingham, AL 35233-1932 · (205) 934-3411
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2019
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1306307491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-166083
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-166083 (AL)
1201 11TH AVE S, Birmingham, AL 35205

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John M Rutherford 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 ID3274935598
PECOS Enrollment IDI20210709000248
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.

Medicare Billing Reassignment

Medicare enrollment records show John Rutherford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services24 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
24 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205

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 Rutherford's NPI number?

The NPI number for John Rutherford is 1306307491. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is John Rutherford located?

John Rutherford practices at 1201 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 934-3411.

What is John Rutherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Rutherford enrolled in Medicare?

Yes. John Rutherford 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.

Which organization bills Medicare for John Rutherford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Rutherford reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Rutherford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Rutherford accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list John Rutherford 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 Rutherford was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.