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DR. CARLTON JAMES RULE MD
NPI 1619978020
Family Medicine in Sidney, NY

Active since August 09, 2005PECOS Enrolled
86.64/100
CMS Quality Rating
39 PEARL ST W, SIDNEY, NY 13838(607) 561-2021 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlton James Rule Md NPPES

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

DR. CARLTON JAMES RULE MD (NPI 1619978020) is an individual family medicine provider in Sidney, New York, licensed in New York (191344) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619978020
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLTON JAMES RULECredential: MD
Location Address39 PEARL ST WSidney, NY 13838-1330
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 561-2021
Phone(607) 561-2021
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1619978020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 191344
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.
39 PEARL ST W, Sidney, NY 13838
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Other Identifiers 2

Medicare UPINF64677NY
Medicare ID-Type UnspecifiedH70158NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlton James Rule Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13838 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

SHANNON GAIL STARK M.A. CCC/SLP, NP-C
Nurse Practitioner (Family)
39 PEARL ST W
SIDNEY, NY 13838
Delaware County (607) 561-2021
MRS. ROCHELLE LEE CHERRONE FNP
Nurse Practitioner (Family)
39 PEARL ST W
SIDNEY, NY 13838
Delaware County (607) 561-2021
DR. DAVID P HASWELL M.D.
Family Medicine
39 PEARL ST W
SIDNEY, NY 13838
Delaware County (607) 561-2021
LEIBING TANG M.D.
Internal Medicine
39 PEARL ST W
SIDNEY, NY 13838
Delaware County (607) 561-2021
MR. KENNETH EDWARD DEMOTT FNP
Nurse Practitioner (Family)
39 PEARL ST W
SIDNEY, NY 13838
Delaware County (607) 561-2021
MS. CONNIE DIANE KELLY NURSE PRACTITIONER
Nurse Practitioner
39 PEARL ST W
SIDNEY, NY 13838
Delaware County (252) 354-7622

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 Carlton Rule's NPI number?

The NPI number for Carlton Rule is 1619978020. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Carlton Rule located?

Carlton Rule practices at 39 Pearl St W, Sidney, NY 13838. The listed phone number is (607) 561-2021.

What is Carlton Rule's specialty?

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

Is Carlton Rule enrolled in Medicare?

Yes. Carlton Rule is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlton Rule was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.