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DR. ROBERT J RUFFNER MD
NPI 1871531632
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
532 S AIKEN AVE, SUITE 311, PITTSBURGH, PA 15232(412) 621-5000(412) 621-1804 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert J Ruffner Md NPPES

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

DR. ROBERT J RUFFNER MD (NPI 1871531632) is an individual cardiovascular disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD028923E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1871531632
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ROBERT J RUFFNERCredential: MD
Location Address532 S AIKEN AVE, SUITE 311Pittsburgh, PA 15232-1521
Mailing Address532 S Aiken Ave, Suite 311Pittsburgh, PA 15232-1521 · (412) 621-5000 · Fax (412) 621-1804
Phone(412) 621-5000
Fax(412) 621-1804
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1981
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1871531632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in PA · MD028923E✔ Licensed in MN · 79895
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
532 S AIKEN AVE, Pittsburgh, PA 15232
Open in Google Maps ↗

Secondary Practice Location 1

Location 1402 E 2nd StDuluth, MN 55805-1906 · Phone (218) 786-8364

Other Identifiers 8

Other140268PA · Highmark Blue Shield
Other000000080523Unison Health Plan
Medicaid0010282940007PA
Other0011823000PA · Independence Blue Shield
Other060068003PA · Railroad Medicare
Other65876First Health
Other100533Upmc For You
Other1013039PA · Gateway Health Plan

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. Robert J Ruffner Md 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 ID6406854835
PECOS Enrollment IDI20250612002580
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Ruffner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Marys Medical Center
749 mi
General Acute Care Hospital
402 E 2ND ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
NPI 1457393035 (218) 786-4000

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 9

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.
189 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
135 services119 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
122 services83 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
89 services82 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
59 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMES SAHOVEY
Internal Medicine
532 S AIKEN AVE, SUITE 201 PRIMARY MEDICAL ASSOCIATES
PITTSBURGH, PA 15232
Allegheny County (412) 683-1704
DR. KEITH THOMAS KANEL MD
Specialist
532 S AIKEN AVE, SUITE 300
PITTSBURGH, PA 15232
Allegheny County (412) 687-6064
RICHARD P. JACOBS, M.D. P.C.
Urology
532 S AIKEN AVE, SUITE 414
PITTSBURGH, PA 15232
Allegheny County (412) 681-6632
SHERIF L. RIZK MD PC
Colon & Rectal Surgery
532 S AIKEN AVE, SUITE 501
PITTSBURGH, PA 15232
Allegheny County (412) 681-8114
DR. DAVID RAY VILSACK DPM
Podiatrist
532 S AIKEN AVE, STE 108
PITTSBURGH, PA 15232
Allegheny County (412) 621-5700
ALEXANDRA MASTRO PA-C
Physician Assistant (Medical)
532 S AIKEN AVE, SUITE 400
PITTSBURGH, PA 15232
Allegheny County (412) 623-6910
RENEE KRUGGER
Physician Assistant (Surgical)
532 S AIKEN AVE, UPMC ST MARGARET HOSPITAL
PITTSBURGH, PA 15232
Allegheny County (412) 623-6910
CAROLYN ELLIS
Specialist
532 S AIKEN AVE, AIKEN MEDICAL BUILDING
PITTSBURGH, PA 15232
Allegheny County (412) 687-6064

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 Robert Ruffner's NPI number?

The NPI number for Robert Ruffner is 1871531632. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Robert Ruffner located?

Robert Ruffner practices at 532 S Aiken Ave Suite 311, Pittsburgh, PA 15232. The listed phone number is (412) 621-5000.

What is Robert Ruffner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Ruffner enrolled in Medicare?

Yes. Robert Ruffner 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 organization bills Medicare for Robert Ruffner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Ruffner reassigns Medicare benefits to St Marys Medical Center (Duluth, MN). The 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 Robert Ruffner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Ruffner affiliated with any hospitals?

According to CMS data, Robert Ruffner is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia, Essentia Health Deer River and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Robert Ruffner was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.