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CONNOR BLAINE RUTHERFORD MD
NPI 1700404415
Family Medicine in Shawnee, OK

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
2307 S GORDON COOPER DR, SHAWNEE, OK 74801(405) 273-5236 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2022, Jul 9, 2020 (2 updates tracked since 2020).

About Connor Blaine Rutherford Md NPPES

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

CONNOR BLAINE RUTHERFORD MD (NPI 1700404415) is an individual family medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (38079) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Shawnee, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700404415
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCONNOR BLAINE RUTHERFORDCredential: MD
Location Address2307 S GORDON COOPER DRShawnee, OK 74801
Mailing Address2307 S Gordon Cooper DriveShawnee, OK 74801 · (405) 273-5236
Phone(405) 273-5236
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 9, 2020
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1700404415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 38079
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.

2307 S GORDON COOPER DR, Shawnee, OK 74801
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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

Connor Blaine Rutherford 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 ID7911346275
PECOS Enrollment IDI20240909000074
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 5

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
37 services31 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
33 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services14 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
17 services17 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74801 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

DR. CARRIE ANN WOOD MD
Internal Medicine
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
PENNY D SOUTHERN DPH
Pharmacist
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
CONNIE COX D.PH.
Pharmacist
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
CYNTHIA SCHOOLMEYER-PELTIER RN
Registered Nurse (Diabetes Educator)
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 395-9303
KIMBERLY DAWAN WILLIAMS R.N.
Registered Nurse (Diabetes Educator)
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 395-9304
DR. SUE ELIZABETH STONE PSY.D.
Psychologist (Clinical)
2307 S GORDON COOPER DR, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
PATRICIA ROSE SOLOMON R.D.H.
Dental Hygienist
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-6337
MS. JANET KAYE BRYCE R.N.
Registered Nurse (Ambulatory Care)
2307 S GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-4693

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 Connor Rutherford's NPI number?

The NPI number for Connor Rutherford is 1700404415. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Connor Rutherford located?

Connor Rutherford practices at 2307 S Gordon Cooper Dr, Shawnee, OK 74801. The listed phone number is (405) 273-5236.

What is Connor Rutherford's specialty?

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

Is Connor Rutherford enrolled in Medicare?

Yes. Connor Rutherford 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.

Is Connor Rutherford affiliated with any hospitals?

According to CMS data, Connor Rutherford is affiliated with Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Connor Rutherford was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.