DR. RANDALL JOSEPH RUARK M.D.
NPI 1437270691
Orthopaedic Surgery in Columbus, GA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
69.58/100
CMS Quality Rating
6262 VETERANS PKWY, COLUMBUS, GA 31909(706) 324-6661(706) 494-3201 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2020, Jun 4, 2020, Jun 22, 2016 (3 updates tracked since 2016).

About Dr. Randall Joseph Ruark M.d. NPPES

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

DR. RANDALL JOSEPH RUARK M.D. (NPI 1437270691) is an individual orthopaedic surgery provider in Columbus, Georgia, licensed in Georgia (054505) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Medical College Of Georgia School Of Medicine (2007).

NPPES Registry Identity

NPI1437270691
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RANDALL JOSEPH RUARKCredential: M.D.
Location Address6262 VETERANS PKWYColumbus, GA 31909-3540
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Fax(706) 494-3201
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateApril 3, 2007
Last NPPES UpdateNovember 20, 20203 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
NPI 1437270691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in GA · 054505 Licensed in AL · MD.33867
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6262 VETERANS PKWY, Columbus, GA 31909

Other Identifiers 2

Medicaid173852AL
Medicaid362979737VGA

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. Randall Joseph Ruark 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 ID5890885594
PECOS Enrollment IDI20071219000131, I20150415001735
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 20

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
3,312 services45 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.
647 services453 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
388 services237 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
341 services306 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
279 services223 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.
267 services251 patients

Hospital Affiliations CMS Care Compare 4

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Miller County Hospital

Critical Access Hospitals · Colquitt, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111305
Location209 N Cuthbert StreetColquitt, GA 39837 · Miller County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

69.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.97
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
21%774 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
66%157 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%79 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
64%3,762 patients2/55-star benchmark: 100%
e-Prescribing
99%390 patients4/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%119 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%2,261 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%2,867 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,547 patients
0%1,547 patients
Provide Patients Electronic Access to Their Health Information
78%969 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%270 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,600 patients
Patients totalRate: 1% · 1,600 patients
1%1,600 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$63.04 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$66.52 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$7.90 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.

Physician Assistant (Surgical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Specialist/Technologist (Athletic Trainer)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physician Assistant (Surgical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physical Therapist (Electrophysiology, Clinical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physical Therapist
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery (Sports Medicine)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery
6262 VETERANS PKWY
COLUMBUS, GA 31909

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 Randall Ruark's NPI number?

The NPI number for Randall Ruark is 1437270691. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Randall Ruark located?

Randall Ruark practices at 6262 Veterans Pkwy, Columbus, GA 31909. The listed phone number is (706) 324-6661.

What is Randall Ruark's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Randall Ruark enrolled in Medicare?

Yes. Randall Ruark 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 Randall Ruark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Randall Ruark 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 Randall Ruark affiliated with any hospitals?

According to CMS data, Randall Ruark is affiliated with Piedmont Columbus Regional Midtown, St Francis Hospital- Emory Healthcare, Piedmont Columbus Regional Northside and Miller County Hospital.

When was this NPI record last updated?

The NPPES record for Randall Ruark was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.