RACHEL MARIE RUCKER D.O
NPI 1396196549
Family Medicine in Jefferson City, MO

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109(573) 635-5264(573) 634-7423 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachel Marie Rucker D.o NPPES

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

RACHEL MARIE RUCKER D.O (NPI 1396196549) is an individual family medicine provider in Jefferson City, Missouri, licensed in Missouri (2017022857) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396196549
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHEL MARIE RUCKERCredential: D.O
Location Address1241 W. STADIUM BLVD.Jefferson City, MO 65109-6023
Mailing AddressP.o. Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264 · Fax (573) 636-9756
Fax(573) 634-7423
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 29, 2016
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1396196549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MO · 2017022857 Licensed in IA · R-10699 Licensed in IL · 188.000680
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1241 W. STADIUM BLVD., Jefferson City, MO 65109

Accepted 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

Rachel Marie Rucker D.o 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 ID7214222074
PECOS Enrollment IDI20190719001549
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 26

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
245 services143 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.
210 services113 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
148 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
133 services133 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
132 services120 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
78 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims32 services$6.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$104.07 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$20.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Hematology & Oncology)
1241 W. STADIUM BLVD.
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W. STADIUM BLVD.
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W. STADIUM BLVD.
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W. STADIUM BLVD.
JEFFERSON CITY, MO 65109
Nurse Practitioner (Adult Health)
1241 W. STADIUM BLVD.
JEFFERSON CITY, MO 65109

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 Rachel Rucker's NPI number?

The NPI number for Rachel Rucker is 1396196549. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Rachel Rucker located?

Rachel Rucker practices at 1241 W. Stadium Blvd., Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

What is Rachel Rucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rachel Rucker enrolled in Medicare?

Yes. Rachel Rucker 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 Rachel Rucker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Rachel Rucker 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 Rachel Rucker affiliated with any hospitals?

According to CMS data, Rachel Rucker is affiliated with Ssm Health St Mary's Hospital Jefferson City and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Rachel Rucker was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.