DR. RICHARD MICHAEL RUTLEDGE D.O.
NPI 1467533356
Family Medicine in Garden Grove, CA

Q: What is Richard Rutledge's NPI number?

The NPI number for Richard Rutledge is 1467533356. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Richard Rutledge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Rutledge was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 18, 2006PECOS Enrolled

12620 BROOKHURST ST STE 2, GARDEN GROVE, CA 92840(657) 251-0453 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Richard Michael Rutledge D.o. NPPES

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

DR. RICHARD MICHAEL RUTLEDGE D.O. (NPI 1467533356) is an individual family medicine provider in Garden Grove, California, licensed in California (20A5542) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fountain Valley.

NPPES Registry Identity

NPI1467533356

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RICHARD MICHAEL RUTLEDGECredential: D.O.

Location Address12620 BROOKHURST ST STE 2Garden Grove, CA 92840

Mailing Address615 E Chapman AveOrange, CA 92866-1643 · (714) 639-4012 · Fax (714) 639-4018

Phone(657) 251-0453

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateDecember 19, 2018

✔ NPI 1467533356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A5542

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12620 BROOKHURST ST STE 2, Garden Grove, CA 92840

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Secondary Practice Location 1

Location 111037 Warner Ave, Suite 235Fountain Valley, CA 92708-4007 · Phone (714) 517-5605 · Fax (714) 892-6876

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Michael Rutledge D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Richard Rutledge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telehealth Medical Group Inc

6.4 mi

Geriatric Medicine

615 E CHAPMAN AVE
Orange, CA 92866

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1770864621 (714) 639-4012

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92840 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

93%109 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.

Other Providers at the Same Location NPPES 4

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

LEVO MEDICAL

Durable Medical Equipment & Medical Supplies

12620 BROOKHURST ST STE 2
GARDEN GROVE, CA 92840

Orange County (714) 793-3075

TELEHEALTH MEDICAL GROUP INC

Family Medicine (Geriatric Medicine)

12620 BROOKHURST ST STE 2
GARDEN GROVE, CA 92840

Orange County (657) 251-0453

REGENERATIVE MEDICAL GROUP

Family Medicine (Geriatric Medicine)

12620 BROOKHURST ST STE 2
GARDEN GROVE, CA 92840

Orange County (657) 251-0453

STANTON S KREMSKY MD INC

Clinic/Center (Magnetic Resonance Imaging (MRI))

12620 BROOKHURST ST STE 2
GARDEN GROVE, CA 92840

Orange County (714) 530-8821

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 Richard Rutledge's NPI number?

The NPI number for Richard Rutledge is 1467533356. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Richard Rutledge located?

Richard Rutledge practices at 12620 Brookhurst St Ste 2, Garden Grove, CA 92840. The listed phone number is (657) 251-0453.

What is Richard Rutledge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Rutledge enrolled in Medicare?

Yes. Richard Rutledge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Rutledge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Rutledge reassigns Medicare benefits to Telehealth Medical Group Inc (Orange, CA). 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 Richard Rutledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Rutledge was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.