DR. DOMINICK RUYBAL DO
NPI 1811428048
Family Medicine in Montezuma Creek, UT

Q: What is Dominick Ruybal's NPI number?

The NPI number for Dominick Ruybal is 1811428048. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is Dominick Ruybal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dominick Ruybal was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment

1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534(435) 651-3700(435) 678-0649 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2022, Mar 10, 2022, Jun 3, 2019 and 2 more (5 updates tracked since 2017).

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About Dr. Dominick Ruybal Do NPPES

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

DR. DOMINICK RUYBAL DO (NPI 1811428048) is an individual family medicine provider in Montezuma Creek, Utah, licensed in Utah (11747257-1204) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Blue Mountain Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2017).

NPPES Registry Identity

NPI1811428048

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DOMINICK RUYBALCredential: DO

Location Address1478 EAST HIGHWAY 162Montezuma Creek, UT 84534-0130

Mailing Address1478 East Highway 162Montezuma Creek, UT 84534-0130 · (435) 651-3700 · Fax (435) 678-0649

Phone(435) 651-3700

Fax(435) 678-0649

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2017

Enumeration DateMarch 21, 2017

Last NPPES UpdateApril 21, 20255 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1811428048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 11747257-1204

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1478 EAST HIGHWAY 162, Montezuma Creek, UT 84534

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.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

Dr. Dominick Ruybal Do 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 ID9638412455

PECOS Enrollment IDI20201104003004

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 10

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.

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.

82 services41 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.

75 services36 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.

75 services35 patients

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.

34 services24 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

28 services27 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

24 services19 patients

Hospital Affiliations CMS Care Compare

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

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461310

Location802 South 200 WestBlanding, UT 84511 · San Juan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84534 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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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.

ALAN QUIN WYGANT FNP

Nurse Practitioner (Family)