DR. DONALD CARRUTHERS MD
NPI 1396799946
Physical Medicine & Rehabilitation in Cincinnati, OH
About Dr. Donald Carruthers Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONALD CARRUTHERS MD (NPI 1396799946) is an individual physical medicine & rehabilitation provider in Cincinnati, Ohio, licensed in Ohio (35081408) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Donald Carruthers 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.
Medicare Billing Reassignment
Medicare enrollment records show Donald Carruthers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45209
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 29 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 29
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYGood Samaritan Hospital
Acute Care Hospitals · Cincinnati, OHChrist Hospital
Acute Care Hospitals · Cincinnati, OHBethesda North
Acute Care Hospitals · Cincinnati, OHMercy Health - West Hospital
Acute Care Hospitals · Cincinnati, OHMedicare 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.
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.
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 Donald Carruthers's NPI number?
The NPI number for Donald Carruthers is 1396799946. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Donald Carruthers located?
Donald Carruthers practices at 3825 Edwards Rd Ste 300, Cincinnati, OH 45209. The listed phone number is (513) 221-1100.
What is Donald Carruthers's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Donald Carruthers enrolled in Medicare?
Yes. Donald Carruthers 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 Donald Carruthers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Carruthers reassigns Medicare benefits to Mayfield Clinic Inc (Cincinnati, OH). 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 Donald Carruthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Carruthers accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Donald Carruthers 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 Donald Carruthers affiliated with any hospitals?
According to CMS data, Donald Carruthers is affiliated with St Elizabeth Edgewood, Good Samaritan Hospital, Christ Hospital, Bethesda North and Mercy Health - West Hospital.
When was this NPI record last updated?
The NPPES record for Donald Carruthers was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.