LAWRENCE EDWIN RUDISILL JR. MD
NPI 1699725952
Surgery - Surgery of the Hand in Greenville, SC

Q: What is Lawrence Rudisill's NPI number?

The NPI number for Lawrence Rudisill is 1699725952. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Lawrence Rudisill's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Rudisill was last updated on March 24, 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.

Active since May 10, 2006PECOS Enrolled

1011 FRONTAGE RD, GREENVILLE, SC 29615(864) 242-4263(864) 242-2250 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Mar 3, 2016 (2 updates tracked since 2016).

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About Lawrence Edwin Rudisill Jr. Md NPPES

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

LAWRENCE EDWIN RUDISILL JR. MD (NPI 1699725952) is an individual surgery of the hand provider in Greenville, South Carolina, licensed in South Carolina (10481) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane Valley.

NPPES Registry Identity

NPI1699725952

Entity TypeIndividualMale

Primary Taxonomy2086S0105X

Provider Legal NameLAWRENCE EDWIN RUDISILL JR.Credential: MD

Location Address1011 FRONTAGE RDGreenville, SC 29615-4240

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8617

Phone(864) 242-4263

Fax(864) 242-2250

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration

NPPES CertifiedMarch 24, 2022

✔ NPI 1699725952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

Licenses✔ Licensed in SC · 10481✔ Licensed in WA · MD61280339

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 10481 (SC)

1011 FRONTAGE RD, Greenville, SC 29615

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Secondary Practice Location 1

Location 116528 E Desmet CtSpokane Valley, WA 99216-3522 · Phone (509) 944-8920 · Fax (509) 227-7070

Other Identifiers 1

Medicaid104817SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrence Edwin Rudisill Jr. 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 29615 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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Other Providers at the Same Location NPPES 20

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

JESSICA ATHENA MARTIN

Occupational Therapist (Hand)