CARL THOMAS RUDEBUSCH MD - NPI 1568969236 - Family Medicine in Richmond, VA

Q: What is Carl Rudebusch's NPI number?

The NPI number for Carl Rudebusch is 1568969236. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Carl Rudebusch'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 Carl Rudebusch was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Carl Thomas Rudebusch Md NPPES

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

CARL THOMAS RUDEBUSCH MD (NPI 1568969236) is an individual family medicine provider in Richmond, Virginia, licensed in Virginia (0101272980) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2018).

NPPES Registry Identity

NPI1568969236

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCARL THOMAS RUDEBUSCHCredential: MD

Location Address1712 E BROAD STRichmond, VA 23223-6930

Mailing Address1712 E Broad StRichmond, VA 23223-6930 · (804) 344-9848 · Fax (804) 554-5395

Phone(804) 344-9848

Fax(804) 554-5395

Sole ProprietorYes

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2018

Enumeration DateApril 10, 2018

Last NPPES UpdateJune 9, 20223 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1568969236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101272980

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.

1712 E BROAD ST, Richmond, VA 23223

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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

Carl Thomas Rudebusch Md 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 ID8921334525

PECOS Enrollment IDI20220608000069

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23223 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 13

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

DR. MARK STEVEN GOTTLIEB D.O.

Family Medicine