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DR. CHARLES RUDOLPH M.D.
NPI 1346351673
Internal Medicine in Cleveland, TN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
170 MOUSE CREEK RD NW, CLEVELAND, TN 37312(423) 458-1426(423) 790-1276 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Rudolph M.d. NPPES

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

DR. CHARLES RUDOLPH M.D. (NPI 1346351673) is an individual internal medicine provider in Cleveland, Tennessee, licensed in Tennessee (MD32155) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1995).

NPPES Registry Identity

NPI1346351673
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES RUDOLPHCredential: M.D.
Location Address170 MOUSE CREEK RD NWCleveland, TN 37312-3840
Mailing Address1025 Peerless Xing NwCleveland, TN 37312-3764 · (423) 476-5990 · Fax (423) 476-5887
Phone(423) 458-1426
Fax(423) 790-1276
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1995
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1346351673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD32155
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
170 MOUSE CREEK RD NW, Cleveland, TN 37312
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Other Identifiers 7

Medicaid000931499DGA
Medicaid3855171TN
Medicaid00931499AGA
Medicaid3855172TN
Other3148810TN · Bcbs Of Tennessee
Other4150063TN · Blue Cross
OtherP00199940TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Charles Rudolph 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 ID4284685678
PECOS Enrollment IDI20050202000872, I20180912000786, I20220825002817
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 Reassignments

3

Medicare enrollment records show Charles Rudolph reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dx Mso, PLLC
22 mi
Urgent Care
1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 224 clinicians in this Medicare group
NPI 1225381148 (423) 531-0911
Dx Mso Of Georgia LLC
31 mi
Multi-Specialty
1302 W WALNUT AVE STE 1
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group
NPI 1922757111 (423) 476-5990
AFC Urgent Care And Family Care Of WNC, PLLC
226 mi
Urgent Care
10102 JOHNSTON RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 118 clinicians in this Medicare group
NPI 1679066658 (423) 476-5990

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 8

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.
64 services61 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
54 services27 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
27 services27 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.
22 services22 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services14 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

CLAYTON ROBERT VANCE FNP-C
Nurse Practitioner (Family)
170 MOUSE CREEK RD NW
CLEVELAND, TN 37312
Bradley County (423) 458-1426
MRS. AMY MICHALSKI RN
Registered Nurse
170 MOUSE CREEK RD NW
CLEVELAND, TN 37312
Bradley County (423) 458-1426
JESSI MARRI STEVE FNP
Nurse Practitioner (Family)
170 MOUSE CREEK RD NW
CLEVELAND, TN 37312
Bradley County (423) 458-1426

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 Charles Rudolph's NPI number?

The NPI number for Charles Rudolph is 1346351673. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Charles Rudolph located?

Charles Rudolph practices at 170 Mouse Creek Rd NW, Cleveland, TN 37312. The listed phone number is (423) 458-1426.

What is Charles Rudolph's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Rudolph enrolled in Medicare?

Yes. Charles Rudolph 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 organizations bill Medicare for Charles Rudolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Rudolph reassigns Medicare benefits to 3 organizations: Dx Mso, PLLC (Chattanooga, TN), Dx Mso Of Georgia LLC (Dalton, GA) and AFC Urgent Care And Family Care Of WNC, PLLC (Charlotte, NC). Each 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 Charles Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Rudolph accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Charles Rudolph 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 Charles Rudolph was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.