DR. JEREMIAH SCOTT RUTHERFORD M.D.
NPI 1801035969
Internal Medicine in Maumelle, AR
About Dr. Jeremiah Scott Rutherford M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMIAH SCOTT RUTHERFORD M.D. (NPI 1801035969) is an individual internal medicine provider in Maumelle, Arkansas, licensed in Arkansas (E-10897) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Sequoyah County-city Of Sallisaw Hospital Authorit, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeremiah Scott Rutherford M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jeremiah Rutherford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Russellville, AR 72801
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: St Marys Physician Services LLC
- 136 clinicians in this Medicare group
Van Buren, AR 72956
- Reassigned Medicare billing, Arkansas enrollment
- 61 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 50 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sequoyah County-City Of Sallisaw Hospital Authorit
Acute Care Hospitals · Sallisaw, OKChoctaw Nation Health Services Authority
Acute Care Hospitals · Talihina, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAUMELLE, AR 72113
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 Jeremiah Rutherford's NPI number?
The NPI number for Jeremiah Rutherford is 1801035969. It was assigned to this individual provider in the NPPES registry on February 13, 2009.
Where is Jeremiah Rutherford located?
Jeremiah Rutherford practices at 1701 Club Manor Dr Ste 2B, Maumelle, AR 72113. The listed phone number is (501) 851-7402.
What is Jeremiah Rutherford's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jeremiah Rutherford enrolled in Medicare?
Yes. Jeremiah 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.
Which organizations bill Medicare for Jeremiah Rutherford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Rutherford reassigns Medicare benefits to 4 organizations: St Mary's Physician Services LLC (Russellville, AR), Crawford Physician Services, PLLC (Van Buren, AR), Arkansas Post Discharge Services, PLLC (Fort Smith, AR) and Sebastian Physician Services, PLLC (Fort Smith, AR). 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 Jeremiah Rutherford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremiah Rutherford accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jeremiah Rutherford 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 Jeremiah Rutherford affiliated with any hospitals?
According to CMS data, Jeremiah Rutherford is affiliated with Sequoyah County-City Of Sallisaw Hospital Authorit and Choctaw Nation Health Services Authority.
When was this NPI record last updated?
The NPPES record for Jeremiah Rutherford was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Dr. Jeremiah Scott Rutherford, M.D. · NPI 1801035969
Internal Medicine physician in Maumelle, Arkansas. Individual provider, active in the CMS NPPES registry since February 13, 2009.
## Identity
- **NPI:** 1801035969 (Entity type: Individual)
- **Enumerated:** February 13, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** E-10897 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 CLUB MANOR DR STE 2B, Maumelle, AR 72113-7401
- **Phone:** (501) 851-7402 · **Fax:** (501) 851-4753
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St Mary's Physician Services LLC (NPI 1124084991, Russellville, AR); Crawford Physician Services, PLLC (NPI 1346029204, Van Buren, AR); Arkansas Post Discharge Services, PLLC (NPI 1851152029, Fort Smith, AR); Sebastian Physician Services, PLLC (NPI 1255110110, Fort Smith, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801035969) · Data from the CMS NPPES public registry.