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WILLIAM GARTH RUDOLPH M.D.
NPI 1407917875
Colon & Rectal Surgery in Virginia Beach, VA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
1080 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454(757) 395-6070(757) 395-6381 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Garth Rudolph M.d. NPPES

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

WILLIAM GARTH RUDOLPH M.D. (NPI 1407917875) is an individual colon & rectal surgery provider in Virginia Beach, Virginia, licensed in Virginia (0101241931) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (1995).

NPPES Registry Identity

NPI1407917875
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameWILLIAM GARTH RUDOLPHCredential: M.D.
Location Address1080 FIRST COLONIAL RD, SUITE 200Virginia Beach, VA 23454-2406
Mailing Address1080 First Colonial Rd, Suite 200Virginia Beach, VA 23454-2406 · (757) 395-6070 · Fax (757) 395-6381
Phone(757) 395-6070
Fax(757) 395-6381
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1995
Enumeration DateDecember 12, 2006
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1407917875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in VA · 0101241931
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 0101241931 (VA)
1080 FIRST COLONIAL RD, Virginia Beach, VA 23454
Open in Google Maps ↗

Other Identifiers 1

Medicaid79622011CO

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

William Garth 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 ID547251423
PECOS Enrollment IDI20070911000526
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 9

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.

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.
64 services64 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.
54 services44 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services38 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.
45 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
23 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Medicare 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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

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

Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers17 claims25 services$6.25 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
2 suppliers15 claims300 services$5.71 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
9 suppliers42 claims1,360 services$4.88 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
7 suppliers32 claims384 services$2.51 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
4 suppliers16 claims104 services$5.32 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
3 suppliers20 claims480 services$8.47 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 20

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

MR. JAY I TISCHLER DPM
Podiatrist (Foot & Ankle Surgery)
1080 FIRST COLONIAL RD, STE 400
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 395-1880
MS. PATRICIA G DUDLEY RNC, MSN, FNP
Nurse Practitioner (Family)
1080 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-7222
DR. CHRISTOPHER J WRUBEL M.D.
Pediatrics
1080 FIRST COLONIAL RD, STE 412
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 395-6500
SENTARA MEDICAL GROUP
Radiology (Diagnostic Radiology)
1080 FIRST COLONIAL RD, SUITE 100
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 395-6464
JOSEPHINE JULIA REKANT NP
Nurse Practitioner (Women's Health)
1080 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-7222
DONALD BELL M.D.
Obstetrics & Gynecology
1080 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-7222
SENTARA MEDICAL GROUP
Internal Medicine
1080 FIRST COLONIAL RD, STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 395-6630
JANICE TRACY LEVIN M.D.
Obstetrics & Gynecology
1080 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-7222

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 William Rudolph's NPI number?

The NPI number for William Rudolph is 1407917875. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is William Rudolph located?

William Rudolph practices at 1080 First Colonial Rd Suite 200, Virginia Beach, VA 23454. The listed phone number is (757) 395-6070.

What is William Rudolph's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is William Rudolph enrolled in Medicare?

Yes. William 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.

Is William Rudolph affiliated with any hospitals?

According to CMS data, William Rudolph is affiliated with Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for William Rudolph was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.