DR. PHILLIP D. RUPPERT PH.D.
NPI 1861771206
Clinical Neuropsychologist in Saint Louis, MO
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
Specialties & Licenses
Secondary Practice Location 1
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Ruppert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Edwardsville, IL 62025
- Reassigned Medicare billing, Illinois enrollment
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 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.
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.
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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.
Which organizations bill Medicare for Phillip Ruppert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Ruppert reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Southern Illinois Neuropsychology LLC (Edwardsville, IL). 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 Phillip Ruppert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Ruppert accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare 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 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.
# Dr. Phillip D. Ruppert, PH.D. · NPI 1861771206
Clinical Neuropsychologist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 16, 2011.
## Identity
- **NPI:** 1861771206 (Entity type: Individual)
- **Enumerated:** August 16, 2011
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 2014031617 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1438 S GRAND BLVD, Saint Louis, MO 63104-1027
- **Phone:** (314) 577-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Southern Illinois Neuropsychology LLC (NPI 1861909509, Edwardsville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1861771206) · Data from the CMS NPPES public registry.