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WALTER F RUTKOWSKY OD
NPI 1417947680
Optometrist in Bradenton, FL

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
5005 MANATEE AVENUE WEST, BRADENTON, FL 34209(941) 794-1315(941) 792-5034 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Walter F Rutkowsky Od NPPES

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

WALTER F RUTKOWSKY OD (NPI 1417947680) is an individual optometrist in Bradenton, Florida, licensed in Florida (OPC1555) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1980).

NPPES Registry Identity

NPI1417947680
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWALTER F RUTKOWSKYCredential: OD
Location Address5005 MANATEE AVENUE WESTBradenton, FL 34209-3857
Mailing Address5005 Manatee Avenue WestBradenton, FL 34209-3857 · (941) 794-1315 · Fax (941) 792-5034
Phone(941) 794-1315
Fax(941) 792-5034
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1980
Enumeration DateOctober 27, 2005
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1417947680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC1555
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5005 MANATEE AVENUE WEST, Bradenton, FL 34209
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Other Identifiers 7

Medicare PIN19203FL
Other4545097Aetna
Other19203FL · Bcbs Of Florida
Other580001115Railroad Medicare
Other2312704Aetna
Medicare UPINT77495
Medicaid078099500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Walter F Rutkowsky Od 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 ID2961536636
PECOS Enrollment IDI20100817000784
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.

Medicare Billing Reassignment

Medicare enrollment records show Walter Rutkowsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vision Care Florida, LLC
Same address
Optometrist
5005 MANATEE AVE W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1366834467 (941) 794-1315

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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
119 services112 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
93 services90 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
62 services55 patients
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.
43 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.
27 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34209 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Walter Rutkowsky's NPI number?

The NPI number for Walter Rutkowsky is 1417947680. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Walter Rutkowsky located?

Walter Rutkowsky practices at 5005 Manatee Avenue West, Bradenton, FL 34209. The listed phone number is (941) 794-1315.

What is Walter Rutkowsky's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Walter Rutkowsky enrolled in Medicare?

Yes. Walter Rutkowsky 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 Walter Rutkowsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Rutkowsky reassigns Medicare benefits to Vision Care Florida, LLC (Bradenton, FL). 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 Walter Rutkowsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Walter Rutkowsky accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list Walter Rutkowsky 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.

When was this NPI record last updated?

The NPPES record for Walter Rutkowsky was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.