AILEEN THERESA RUFFINO D.O.
NPI 1437424496
Internal Medicine - Pulmonary Disease in Marion, OH

Active since March 09, 2012PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1040 DELAWARE AVE, MARION, OH 43302(740) 383-7936(740) 383-7936 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2021, May 6, 2021, Sep 30, 2019 (3 updates tracked since 2019).

About Aileen Theresa Ruffino D.o. NPPES

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

AILEEN THERESA RUFFINO D.O. (NPI 1437424496) is an individual pulmonary disease provider in Marion, Ohio, licensed in Ohio (34.011279) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1437424496
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameAILEEN THERESA RUFFINOCredential: D.O.
Location Address1040 DELAWARE AVEMarion, OH 43302-6416
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · Fax (614) 544-6370
Fax(740) 383-7936
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012
Enumeration DateMarch 9, 2012
Last NPPES UpdateJanuary 31, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
NPI 1437424496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 34.011279
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 34.011279 (OH)
1040 DELAWARE AVE, Marion, OH 43302

Other Identifiers 1

Medicaid0107627OH

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

Aileen Theresa Ruffino D.o. 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 ID4082850664
PECOS Enrollment IDI20140827001527
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 19

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 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.
136 services102 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.
134 services110 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
114 services47 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
86 services85 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
85 services84 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
67 services67 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH
OwnershipGovernment - Local
CMS Certification Number361313
Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County
Emergency services

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Wyandot Memorial Hospital

Critical Access Hospitals · Upper Sandusky, OH
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361329
Location885 North Sandusky AvenueUpper Sandusky, OH 43351 · Wyandot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$45.10 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers11 claims11 services$17.51 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers20 claims20 services$117.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers21 claims33 services$44.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers14 claims53 services$15.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers24 claims24 services$54.56 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.

Pharmacist (Pharmacotherapy)
1040 DELAWARE AVE
MARION, OH 43302
Pharmacist (Pharmacotherapy)
1040 DELAWARE AVE
MARION, OH 43302
Pharmacist
1040 DELAWARE AVE
MARION, OH 43302
Pathology (Clinical Pathology/Laboratory Medicine)
1040 DELAWARE AVE
MARION, OH 43302
Pharmacist (Pharmacotherapy)
1040 DELAWARE AVE
MARION, OH 43302
Hospitalist
1040 DELAWARE AVE
MARION, OH 43302
Pharmacist
1040 DELAWARE AVE
MARION, OH 43302
Pharmacist
1040 DELAWARE AVE
MARION, OH 43302

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 Aileen Ruffino's NPI number?

The NPI number for Aileen Ruffino is 1437424496. It was assigned to this individual provider in the NPPES registry on March 9, 2012.

Where is Aileen Ruffino located?

Aileen Ruffino practices at 1040 Delaware Ave, Marion, OH 43302. The listed phone number is (740) 383-7936.

What is Aileen Ruffino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Aileen Ruffino enrolled in Medicare?

Yes. Aileen Ruffino 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 Aileen Ruffino accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Aileen Ruffino 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 Aileen Ruffino affiliated with any hospitals?

According to CMS data, Aileen Ruffino is affiliated with Riverside Methodist Hospital, Marion General Hospital, Morrow County Hospital, Hardin Memorial Hospital and Wyandot Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Aileen Ruffino was last updated on January 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.