DR. HERBERT J RUDOLPH MD
NPI 1871633370
Family Medicine in Atascadero, CA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
7512 MORRO RD, ATASCADERO, CA 93422(805) 792-1400 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Herbert J Rudolph Md NPPES

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

DR. HERBERT J RUDOLPH MD (NPI 1871633370) is an individual family medicine provider in Atascadero, California, licensed in California (57620) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manahawkin, and is a graduate of Rutgers, Robert Woood Johnson Medical School (1985).

NPPES Registry Identity

NPI1871633370
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HERBERT J RUDOLPHCredential: MD
Location Address7512 MORRO RDAtascadero, CA 93422-4404
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8030 · Fax (805) 361-8097
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 1985
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1871633370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 57620 Licensed in NJ · MA049045
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.
7512 MORRO RD, Atascadero, CA 93422

Secondary Practice Location 1

Location 153 Nautilus Drive, Suite BManahawkin, NJ 08050 · Phone (609) 978-6266 · Fax (609) 978-5006

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. Herbert J Rudolph 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 ID9436114071
PECOS Enrollment IDI20041123000781, I20250710003868
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93422 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.31
Promoting Interoperability100
Improvement Activities40
Cost67.82

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
7512 MORRO RD
ATASCADERO, CA 93422
Internal Medicine
7512 MORRO RD
ATASCADERO, CA 93422
Chiropractor
7512 MORRO RD
ATASCADERO, CA 93422
Dietitian, Registered
7512 MORRO RD
ATASCADERO, CA 93422
Physician Assistant
7512 MORRO RD
ATASCADERO, CA 93422
Internal Medicine
7512 MORRO RD
ATASCADERO, CA 93422
Internal Medicine
7512 MORRO RD
ATASCADERO, CA 93422
Family Medicine
7512 MORRO RD
ATASCADERO, CA 93422

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 Herbert Rudolph's NPI number?

The NPI number for Herbert Rudolph is 1871633370. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Herbert Rudolph located?

Herbert Rudolph practices at 7512 Morro Rd, Atascadero, CA 93422. The listed phone number is (805) 792-1400.

What is Herbert Rudolph's specialty?

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

Is Herbert Rudolph enrolled in Medicare?

Yes. Herbert Rudolph 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.

When was this NPI record last updated?

The NPPES record for Herbert Rudolph was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.