CHARLES HUGH RUTAN O.D.
NPI 1487643268
Optometrist in Clinton, IN

Active since October 14, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 15D2087288 · Waiver
224 ELM ST, CLINTON, IN 47842(765) 832-3292(765) 832-9730 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Hugh Rutan O.d. NPPES

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

CHARLES HUGH RUTAN O.D. (NPI 1487643268) is an individual optometrist in Clinton, Indiana, licensed in Indiana (18002266A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 19, 2026, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1487643268
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES HUGH RUTANCredential: O.D.
Location Address224 ELM STClinton, IN 47842-2312
Mailing Address224 Elm StClinton, IN 47842-2312 · (765) 832-3292 · Fax (765) 832-9730
Fax(765) 832-9730
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 14, 2005
Last NPPES UpdateAugust 2, 2012
NPI 1487643268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18002266A
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 18002266A (IN)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 1800226A (IN)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 18002266A (IN)
224 ELM ST, Clinton, IN 47842

Other Identifiers 7

Other351776119IN · Tricare
Medicare NSC0451720001IN
Other100243930CIN · Medicaid Location C
Other000000087765IN · Blue Cross Blue Shield
Medicare PIN858880IN
Medicare UPINT35080IN
Medicaid100243930IN

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

Charles Hugh Rutan O.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 ID5294839072
PECOS Enrollment IDI20070404000150
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2087288

Charles Rutan, Od · Clinton, IN
Active · expires Nov 19, 2026
CLIA Number15D2087288
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorCharles H. Rutan
Laboratory Phone(765) 832-3292
Laboratory LocationCharles Rutan, Od224 Elm St, Clinton, IN 47842
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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 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.
262 services169 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.
184 services180 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
164 services123 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
115 services108 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.
109 services90 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
64 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47842 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%81 patients5/55-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

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

Eyewear Supplier
224 ELM ST
CLINTON, IN 47842

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 Charles Rutan's NPI number?

The NPI number for Charles Rutan is 1487643268. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Charles Rutan located?

Charles Rutan practices at 224 Elm St, Clinton, IN 47842. The listed phone number is (765) 832-3292.

What is Charles Rutan's specialty?

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

Is Charles Rutan enrolled in Medicare?

Yes. Charles Rutan 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.

Does Charles Rutan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2087288) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles Rutan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Charles Rutan 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 Charles Rutan was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.