JOSEPH HOWARD RUPARD M D
NPI 1861451338
Family Medicine in Shelbyville, TN

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
74.13/100
CMS Quality Rating
883 UNION STREET, SHELBYVILLE, TN 37160(931) 685-1145(931) 685-8014 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2016, Feb 22, 2016, Jan 29, 2016 (3 updates tracked since 2016).

About Joseph Howard Rupard M D NPPES

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

JOSEPH HOWARD RUPARD M D (NPI 1861451338) is an individual family medicine provider in Shelbyville, Tennessee, licensed in Tennessee (MD024783) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt Bedford Hospital, and is a graduate of Vanderbilt University School Of Medicine (1993).

NPPES Registry Identity

NPI1861451338
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH HOWARD RUPARDCredential: M D
Location Address883 UNION STREETShelbyville, TN 37160-3108
Mailing Address883 Union StShelbyville, TN 37160-2607 · (931) 685-1145 · Fax (931) 685-8014
Fax(931) 685-8014
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 1993
Enumeration DateMarch 22, 2006
Last NPPES UpdateMay 10, 20163 updates tracked since enumeration
NPI 1861451338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD024783
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.
883 UNION STREET, Shelbyville, TN 37160

Other Names 1

Other Name (5)Howard Rupard M D

Other Identifiers 2

Medicaid3078581TN
Medicare UPINF01423

Accepted 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

Joseph Howard Rupard 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.

PECOS PAC ID7214052356
PECOS Enrollment IDI20100914000285
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 19

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
419 services131 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
391 services153 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
264 services155 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.
216 services112 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
165 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
126 services126 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37160 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

74.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.13
Improvement Activities40
Cost35.55

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
78%194 patients4/55-star benchmark: 100%
Breast Cancer Screening
51%176 patients3/55-star benchmark: 93%
Chlamydia Screening for Women
9%128 patients
Closing the Referral Loop: Receipt of Specialist Report
13%56 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
39%543 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
56%457 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
10%185 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%276 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%6,606 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
26%389 patients2/55-star benchmark: 100%
HIV Screening
6%1,281 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%2,702 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%313 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 369 patients
Patients totalRate: 15% · 419 patients
15%419 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims9,831 services$0.36 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$16.07 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers45 claims45 services$68.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers36 claims37 services$19.58 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers16 claims16 services$7.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers96 claims97 services$107.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Joseph Rupard's NPI number?

The NPI number for Joseph Rupard is 1861451338. It was assigned to this individual provider in the NPPES registry on March 22, 2006. The provider is also known as Howard Rupard M D.

Where is Joseph Rupard located?

Joseph Rupard practices at 883 Union Street, Shelbyville, TN 37160. The listed phone number is (931) 685-1145.

What is Joseph Rupard's specialty?

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

Is Joseph Rupard enrolled in Medicare?

Yes. Joseph Rupard 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.

What insurance does Joseph Rupard accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Joseph Rupard 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 Joseph Rupard affiliated with any hospitals?

According to CMS data, Joseph Rupard is affiliated with Vanderbilt Bedford Hospital and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Rupard was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.