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JAMES FRANCIS RUIZ MD
NPI 1669552188
Radiology - Diagnostic Radiology in Baton Rouge, LA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809(225) 757-0552(225) 763-9997 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Francis Ruiz Md NPPES

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

JAMES FRANCIS RUIZ MD (NPI 1669552188) is an individual diagnostic radiology provider in Baton Rouge, Louisiana, licensed in Louisiana (016790) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Womans Hospital, and is a graduate of Tulane University School Of Medicine (1982).

NPPES Registry Identity

NPI1669552188
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES FRANCIS RUIZCredential: MD
Location Address8230 SUMMA AVE STE CBaton Rouge, LA 70809-3465
Mailing Address8230 Summa Ave Ste CBaton Rouge, LA 70809-3465 · (225) 757-0552 · Fax (225) 763-9997
Phone(225) 757-0552
Fax(225) 763-9997
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1982
Enumeration DateOctober 17, 2006
Last NPPES UpdateMay 28, 2019
✔ NPI 1669552188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in LA · 016790
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8230 SUMMA AVE STE C, Baton Rouge, LA 70809
Open in Google Maps ↗

Other Identifiers 1

Medicaid1360708LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, UnitedHealthcare.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

James Francis Ruiz 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 ID2264568054
PECOS Enrollment IDI20101216000506
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.

Areas of Expertise CMS Part B claims 6

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.

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
98 services98 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
95 services95 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
94 services94 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
75 services75 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
42 services41 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190128
Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%21 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%370 patients
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.

MICHAEL LYNN BRUCE MD
Radiology (Diagnostic Radiology)
8230 SUMMA AVE STE C
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 757-0552
MARK DOUGLAS WOFFORD MD
Radiology (Diagnostic Radiology)
8230 SUMMA AVE STE C
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 757-0552
DR. LAURA SCURRIA MILLER M.D.
Radiology (Diagnostic Radiology)
8230 SUMMA AVE STE C
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 757-0552
KRISTY HUGGINS HARRISON PAC
Physician Assistant (Surgical)
8230 SUMMA AVE STE C
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 757-0552

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 James Ruiz's NPI number?

The NPI number for James Ruiz is 1669552188. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is James Ruiz located?

James Ruiz practices at 8230 Summa Ave Ste C, Baton Rouge, LA 70809. The listed phone number is (225) 757-0552.

What is James Ruiz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Ruiz enrolled in Medicare?

Yes. James Ruiz 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.

What insurance does James Ruiz accept?

Health plans from HMO Louisiana and UnitedHealthcare list James Ruiz 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.

Is James Ruiz affiliated with any hospitals?

According to CMS data, James Ruiz is affiliated with Womans Hospital.

When was this NPI record last updated?

The NPPES record for James Ruiz was last updated on May 28, 2019. 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.