TONI RUFFINO
NPI 1437691490
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Toni Ruffino's NPI number?

The NPI number for Toni Ruffino is 1437691490. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Q: What is Toni Ruffino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Toni Ruffino was last updated on April 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2016PECOS EnrolledAccepts Medicare Assignment

81.9/100

CMS Quality Rating

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 477-4909 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2017, Jan 20, 2017, Jan 4, 2017 and 1 more (4 updates tracked since 2016).

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About Toni Ruffino NPPES

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

TONI RUFFINO (NPI 1437691490) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9258334) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1437691490

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONI RUFFINO

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address410 6th St NJacksonville Beach, FL 32250-5630 · (904) 477-4909

Phone(904) 477-4909

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 8, 2016

Last NPPES UpdateApril 13, 20174 updates tracked since enumeration

✔ NPI 1437691490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9258334

655 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 2

Medicaid019292600FL

Medicare PINIU313ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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

Toni Ruffino 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 ID7618257288

PECOS Enrollment IDI20161219000440

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

168 services121 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.

25 services22 patients

Exam of the nose and throat using an endoscope 92511

An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.

22 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services18 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

81.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

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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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology