1. Home
  2. Directory
  3. Arizona
  4. Surprise
  5. Optometrist
  6. NPI Profile

ANDY J RUDER OD
NPI 1700971082
Optometrist in Surprise, AZ

Active since October 04, 2006PECOS Enrolled
16315 W SENTINAL ROCK LN, SURPRISE, AZ 85387(715) 214-8453 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andy J Ruder Od NPPES

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

ANDY J RUDER OD (NPI 1700971082) is an individual optometrist in Surprise, Arizona, licensed in Wisconsin (2468035) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700971082
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDY J RUDERCredential: OD
Location Address16315 W SENTINAL ROCK LNSurprise, AZ 85387-2765
Mailing Address16315 W Sentinal Rock LnSurprise, AZ 85387-2765 · (715) 214-8453
Phone(715) 214-8453
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 26, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1700971082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 2468035
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
16315 W SENTINAL ROCK LN, Surprise, AZ 85387
Open in Google Maps ↗

Other Identifiers 1

Medicaid38585600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andy J Ruder Od 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andy Ruder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
1,352 mi
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1316416035 (715) 858-8100
Marshfield Clinic Inc
1,406 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85387 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Andy Ruder's NPI number?

The NPI number for Andy Ruder is 1700971082. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Andy Ruder located?

Andy Ruder practices at 16315 W Sentinal Rock Ln, Surprise, AZ 85387. The listed phone number is (715) 214-8453.

What is Andy Ruder's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Andy Ruder enrolled in Medicare?

Yes. Andy Ruder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andy Ruder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Ruder reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Eau Claire, WI) and Marshfield Clinic Inc (Marshfield, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andy Ruder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andy Ruder accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Andy Ruder 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.

When was this NPI record last updated?

The NPPES record for Andy Ruder was last updated on September 26, 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.