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DR. AUDREY KAY RUTHERFORD MD
NPI 1366946899
Dermatology in Centerville, UT

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 84014(801) 549-0570 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2022, Jun 9, 2022, Mar 20, 2018 (3 updates tracked since 2018).

About Dr. Audrey Kay Rutherford Md NPPES

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

DR. AUDREY KAY RUTHERFORD MD (NPI 1366946899) is an individual dermatology provider in Centerville, Utah, licensed in Utah (12829524-1205) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2018).

NPPES Registry Identity

NPI1366946899
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. AUDREY KAY RUTHERFORDCredential: MD
Location Address1222 W LEGACY CROSSING BLVD STE 200Centerville, UT 84014-5560
Mailing Address114 Deer Creek DrAledo, TX 76008-3900 · (817) 304-8839
Phone(801) 549-0570
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1366946899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 12829524-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1222 W LEGACY CROSSING BLVD STE 200, Centerville, UT 84014
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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. Audrey Kay Rutherford Md 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 ID4385029230
PECOS Enrollment IDI20240627004137
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
220 services43 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.
79 services63 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
62 services50 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
43 services36 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.
43 services29 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
37 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84014 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 3

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

MRS. MARIAN ANNE BRIDENSTINE RN, FNP
Nurse Practitioner
1222 W LEGACY CROSSING BLVD STE 200
CENTERVILLE, UT 84014
Davis County (801) 298-3802
INTEGRATED DERMATOLOGY OF BOUNTIFUL LLC
Dermatology
1222 W LEGACY CROSSING BLVD STE 200
CENTERVILLE, UT 84014
Davis County (801) 298-3802
STEVIE-MARIE ANN MULLINS PA-C
Physician Assistant
1222 W LEGACY CROSSING BLVD STE 200
CENTERVILLE, UT 84014
Davis County (801) 298-3802

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 Audrey Rutherford's NPI number?

The NPI number for Audrey Rutherford is 1366946899. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Audrey Rutherford located?

Audrey Rutherford practices at 1222 W Legacy Crossing Blvd Ste 200, Centerville, UT 84014. The listed phone number is (801) 549-0570.

What is Audrey Rutherford's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Audrey Rutherford enrolled in Medicare?

Yes. Audrey 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.

When was this NPI record last updated?

The NPPES record for Audrey Rutherford was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.