DR. PHILLIP D. RUPPERT PH.D.
NPI 1861771206
Clinical Neuropsychologist in Saint Louis, MO

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1438 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-8000 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Jan 13, 2021 (2 updates tracked since 2021).

About Dr. Phillip D. Ruppert Ph.d. NPPES

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

DR. PHILLIP D. RUPPERT PH.D. (NPI 1861771206) is an individual clinical neuropsychologist in Saint Louis, Missouri, licensed in Missouri (2014031617) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edwardsville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861771206
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. PHILLIP D. RUPPERTCredential: PH.D.
Location Address1438 S GRAND BLVDSaint Louis, MO 63104-1027
Mailing Address1 Oak Dr Unit 352Maryville, IL 62062-7026 · (618) 391-4021
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 16, 2011
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
NPI 1861771206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses Licensed in MO · 2014031617 Licensed in IL · 071009269
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1438 S GRAND BLVD, Saint Louis, MO 63104

Secondary Practice Location 1

Location 160 S State Route 157Edwardsville, IL 62025-3846 · Phone (618) 391-4021

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

Dr. Phillip D. Ruppert Ph.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 ID9830330034
PECOS Enrollment IDI20141023002266
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 6

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
187 services61 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
82 services62 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
67 services67 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
63 services63 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
22 services22 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
18 services18 patients

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Nurse Practitioner
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Neurology)
1438 S GRAND BLVD, ST. LOUIS UNIVERSITY, DEPT. NEUROLOGY & PSYCHIATRY
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Phillip Ruppert's NPI number?

The NPI number for Phillip Ruppert is 1861771206. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Phillip Ruppert located?

Phillip Ruppert practices at 1438 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-8000.

What is Phillip Ruppert's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Phillip Ruppert enrolled in Medicare?

Yes. Phillip Ruppert 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 Phillip Ruppert accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Oscar Insurance Company list Phillip Ruppert 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 Phillip Ruppert was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.