DR. JOSEPH NATHANIEL RUHALA D.O.
NPI 1922415421
Surgery in Frederick, MD

Active since July 16, 2014PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
194 THOMAS JOHNSON DR, FREDERICK, MD 21702(240) 215-6310 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2022, Sep 2, 2020 (2 updates tracked since 2020).

About Dr. Joseph Nathaniel Ruhala D.o. NPPES

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

DR. JOSEPH NATHANIEL RUHALA D.O. (NPI 1922415421) is an individual surgery provider in Frederick, Maryland, licensed in Maryland (H95555) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1922415421
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOSEPH NATHANIEL RUHALACredential: D.O.
Location Address194 THOMAS JOHNSON DRFrederick, MD 21702-4679
Mailing Address400 W 7th StFrederick, MD 21701-4506 · (240) 439-8812
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014
Enumeration DateJuly 16, 2014
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1922415421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MD · H95555
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License OS018024 (PA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License OS018024 (PA)
194 THOMAS JOHNSON DR, Frederick, MD 21702

Secondary Practice Locations 13

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-8887 · Fax (717) 531-4974
Location 275 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 215-6310
Location 3141 Thomas Johnson DrFrederick, MD 21702-4502 · Phone (301) 846-0100
Location 416403 Old Emmitsburg RdEmmitsburg, MD 21727-8929 · Phone (240) 215-6310
Location 5400 W 7th StFrederick, MD 21701-4506 · Phone (240) 215-6310
Location 615 E Frederick StWalkersville, MD 21793-8234 · Phone (240) 215-6310
Location 7230 W Patrick StFrederick, MD 21701-6945 · Phone (240) 215-6310
Location 83000D Ventrie CtMyersville, MD 21773-7817 · Phone (240) 215-6310
Location 97211 Bank CtFrederick, MD 21703-8483 · Phone (240) 215-6310
Location 103430 Worthington BlvdFrederick, MD 21704-7017 · Phone (240) 215-6310
Location 111562 Opossumtown PikeFrederick, MD 21702-4920 · Phone (240) 215-6310
Location 12504 E Ridgeville BlvdMount Airy, MD 21771-5942 · Phone (240) 215-6310
Location 13501 W 7th StFrederick, MD 21701-4586 · Phone (240) 215-6310

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. Joseph Nathaniel Ruhala D.o. 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 ID6507084456
PECOS Enrollment IDI20221114000063
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Promoting Interoperability100
Improvement Activities40
Cost54.89

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
194 THOMAS JOHNSON DR, STE A
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Nurse Practitioner
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Nurse Practitioner (Family)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Internal Medicine (Hematology)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702

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 Ruhala's NPI number?

The NPI number for Joseph Ruhala is 1922415421. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Joseph Ruhala located?

Joseph Ruhala practices at 194 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (240) 215-6310.

What is Joseph Ruhala's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joseph Ruhala enrolled in Medicare?

Yes. Joseph Ruhala 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.

Is Joseph Ruhala affiliated with any hospitals?

According to CMS data, Joseph Ruhala is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Ruhala was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.