DR. LAURIE JEAN RUDNICK M.D.
NPI 1407822612
Family Medicine in Saint Clair Shores, MI

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
19901 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 777-1277(586) 777-0106 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Laurie Jean Rudnick M.d. NPPES

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

DR. LAURIE JEAN RUDNICK M.D. (NPI 1407822612) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4301066008) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1407822612
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAURIE JEAN RUDNICKCredential: M.D.
Location Address19901 E 10 MILE RDSaint Clair Shores, MI 48080-1069
Mailing Address19901 E 10 Mile RdSaint Clair Shores, MI 48080-1069 · (586) 777-1277 · Fax (586) 777-0106
Fax(586) 777-0106
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1995
Enumeration DateFebruary 27, 2006
Last NPPES UpdateSeptember 28, 2011
NPI 1407822612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301066008
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.
19901 E 10 MILE RD, Saint Clair Shores, MI 48080

Other Names 1

Other Name (5)Laurie Jean Burgoyne

Other Identifiers 7

Medicare PIN0P27380MI
Other700E031610MI · Bcbs Group Number
Other0P27380MI · Medicare Group Legacy #
Medicaid4828442MI
Medicare UPINH50176
Medicare PINP27380001MI
Medicare PINMI3971MI

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

Dr. Laurie Jean Rudnick 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 ID9234100157
PECOS Enrollment IDI20040804000681
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 3

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 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.
108 services67 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.
43 services43 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.
41 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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

Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Family Medicine
19901 E 10 MILE RD
ST CLAIR SHORES, MI 48080

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 Laurie Rudnick's NPI number?

The NPI number for Laurie Rudnick is 1407822612. It was assigned to this individual provider in the NPPES registry on February 27, 2006. The provider is also known as Laurie Jean Burgoyne.

Where is Laurie Rudnick located?

Laurie Rudnick practices at 19901 E 10 Mile Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-1277.

What is Laurie Rudnick's specialty?

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

Is Laurie Rudnick enrolled in Medicare?

Yes. Laurie Rudnick 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 Laurie Rudnick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Laurie Rudnick 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 Laurie Rudnick affiliated with any hospitals?

According to CMS data, Laurie Rudnick is affiliated with Henry Ford Health Hospital, Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Laurie Rudnick was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.