STEPHANIE RUTTERBUSH MD
NPI 1649652298
Family Medicine in Lewiston, MI

Q: What is Stephanie Rutterbush's NPI number?

The NPI number for Stephanie Rutterbush is 1649652298. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Q: What is Stephanie Rutterbush's specialty?

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

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment

3040 BOURN ST, LEWISTON, MI 49756(989) 786-4877(989) 731-7929 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, May 15, 2024, Jan 27, 2023 and 1 more (4 updates tracked since 2018).

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About Stephanie Rutterbush Md NPPES

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

STEPHANIE RUTTERBUSH MD (NPI 1649652298) is an individual family medicine provider in Lewiston, Michigan, licensed in Michigan (4301108253) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1649652298

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTEPHANIE RUTTERBUSHCredential: MD

Location Address3040 BOURN STLewiston, MI 49756

Mailing Address271 Mccoy Rd WGaylord, MI 49735-8253 · (989) 731-7777 · Fax (989) 731-7776

Phone(989) 786-4877

Fax(989) 731-7929

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2015

Enumeration DateJune 19, 2015

Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1649652298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301108253

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.

3040 BOURN ST, Lewiston, MI 49756

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Secondary Practice Locations 4

Location 11414 W Fair AveMarquette, MI 49855-2675 · Phone (906) 225-3864

Location 2829 N Center AveGaylord, MI 49735-1595 · Phone (989) 731-7996 · Fax (989) 731-9151

Location 3829 N Center Ave Ste 210Gaylord, MI 49735-1599 · Phone (989) 731-7860

Location 41619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 417-6010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Stephanie Rutterbush 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 ID5890008528

PECOS Enrollment IDI20150723007937

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.

Hospital Affiliations CMS Care Compare 3

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231322

Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49756 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers48 claims198 services$5.52 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers14 claims14 services$2.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers22 claims36 services$1.14 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers11 claims11 services$25.14 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers15 claims86 services$2.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$19.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

JENNIFER ERIN MCBRIDE AGNP-C

Nurse Practitioner